fresh water long sleep and shun the use of hot and dry things 2. Persons hot and moist if moderately such preserve their Temperament and follow al things moderately lest contracting plenty of Excrements they sal into putrid Diseases 3. Cold persons require both hot meats which stir up heat and consume it not and seasonable Evacuation of Flegmatick Excrements 4. Dry Constitutions must have moist meats and baths of fresh Water 5. Such as are Cold and Dry have an unhappy constitution which must be holpen with long sleep frictions which strengthen the Natural heat and discuss it not and with a bath of fresh Water 6. In Cold and moist persons coldness must be corrected and the moisture preserved as much as may be Temperate exercises do stir up the Natural heat whereby it is inabled to conquer the moisture II. Persons Declining because in regard of a Plethorick and Cacochymical disposition encline to sickness must in the first place use rest and abstinence and in case these suffice not they require Blood-letting and purging Therefore at the beginning of the spring Flegmatick and Melancholly Humors about the end thereof Choler and about Autumn black Cholerick Humors are to be purged A pil of Aloes Rosata taken an hour before supper but not too often lest it hurt the Liver may suffice to Empty the matter which sticks in the stomach and first passages III. Touching persons neither sick nor wel but recovering two things are to be observed 1. That they fal not back again into their sicknesses 2. That they may soon recover their perfect health And therefore 1. Because such reliques as are left in Diseases after the Crisis wont to cause relapses if there be as yet any superfluous matter remaining it must be drawn away by little and little and the parts are to be Roborated 2. If there be no matter over the Body must be carfully nourished with moist Diet easie of digestion and of good nourishment 3. Bodies that have been long extenuated must be repaired by little and little such as have been suddenly decaied must be quickly repaired 4. These things are chiefly to be used which respect the Causes of the weakness and may resist the Morbifick Dispositions And so much for the Method of preservation of Health THE SECOND BOOK OF THE IDEA OF PRACTICAL PHYSICK Treating of the Preternatural Affections or Disorders of Mans Body and their Respective Signs The INTRODUCTION SO much may suffice to have spoken touching Hygieine or the Art of Preserving Health The Second Part of Physick followes termed Therapeutice which teaches the way to know all Infirmities which impair the Health of Mans body and being known by certain convenient Remedies to remove the same if possible It s End therefore is to remove if possible the preternatural Dispositions of the body and to restore health lost Its Parts are likewise two 1. General which treats of the Nature Signs Causes Differences and Cure of the praeternatural Affections of the Body both in General in particular in Conjunction 2 Special which treates of such preternatural affections as refer to the particular parts of the Body The former is again subdivided into four parts In the First we shal treat of the Nature and signs of praeternatural affections The Second declares the Medicaments The Third laies open the general method of curing The Fourth treates of the first differences of Diseases and delivers their Cure considered in gross Title I. Of a Disease in general Chap. 1. Of the Nature of a Disease THose Affections or disorders which praeternaturally infest the Body of Man are three A Disease its Cause and its Symptome A Disease is the Inability of the living parts of Mans body to perform their natural Actions ariseing from their praeternatural Constitution Concerning which we are to consider 1. The Subject 2 The Times 3 The cause 4 The Differences 5. The Signs 6. The Issue or event Of the first four we shal treat in this Chapter assigneing peculiar Chapters to the two last I. The Subject is the liveing parts of mans body both spermatick and sanguine both in reference to their matter to which Temperament and occult qualities belong as also to their structure to which conformation and unity do appertaine Sometimes altogether sometimes many sometimes only one of these is affected II. The times are four 1. The Beginning in which the disease iâ— crude nor are there any signs of coction or corruption contrary thereto present althings are remiss unless the matter being agitated does infest some one part more than the rest til it is either dissipated or thrust out into the Circumference of the Body and healthily disposed diseases their causes being removed do sometimes vanish 2. The Augment or Increase wherein the Symptomes grow more burthensome and the signs either of Coction or contrary Corruption begin to appeare 3. The State in which there is the greatest combate betwixt Nature and the Disease the signs of Life and Death do manifestly shew themselves and all things are vehement and if any Remission appeare the reason is because nature being weakened gives over and is no longer able to oppose her against the morbifick Causes 4. And lastly this Declination or Decrease in which the disease being overcome by nature grows gentle and no man dies at this time unless through the fault of himself or the Physitian or the disease changing into a worse Touching all these times note in general 1. That each of these being not of equal length in all diseases is subdivided after the same manner so that the beginning hath its beginning Augment and Declination and so the rest 2. That Intermitting Diseases have their particular times in each fit 3 That Diseases which receive nourishment in winter are finnished in Summer and contrariwise unless they are terminated within the circuit of certaine daies III. When we speak of Causes we do not consider any material cause For a disease hath no such cause its subject being instead thereof nor do we intend the formal cause for that is explained in the definition nor of the final because those things have final causes which consist in perfection whereas a disease consists in defect thereof also it is bred and receives growth by accident but we speak of the Efficient Causes which are considered either in respect to the disease or absolutely or according as the things themselves are The former are sundry I. Remote which either works as procatarctick causes which 1 Are either in the Body or without and therefore have not recourse with externals 2. They are called external because they belong not to the Constitution of the body 3 When manifest causes as a sword c. may be the immediate cause of a disease they are reckoned with the former 4. They stir up and put in motion such causes as lie hidden in our Bodies so that they sensibly affect our bodies as Watchings 5. Of their own nature and force they cannot cause a great disease
in his Pharmacop restitut Oyl of chamomel saphirine a bolus made of three drams and a halfe of electuary diaphenicon and two scruples of philonium romanum is most commended by some Four grains of laudanum opiate with the decoction of chamomel After the use of all which things that strengthen the stomach must be applyed 2. The cause it self of which in the differences The differences are taken from the parts and Causes I. There is one pain of the coats which is simple and to which the former things ought to be applied another of the mouth of the stomach which discovers it self by faintings and swounings somtimes by immoderate sweats and anxiety and then it arises both from an attrition of the Stomach which happens after taking of meat with coldness a stoppage of the pulse and breathing either from the meat boyling in the Stomach before it be sent forth or turned into flegm and t is cured with oyl of spiknard applyed hot to the Stomach and one dram of pepper exhibited And from the astriction of the Stomach which happens by reason of the astriction of both orifices and the meat descending it ceaseth they ought to be distinguisht The cure is past hope if it befal them who have an orifice of exquisite sence if their extreme parts be cold and if it proceed from poysenous things II. Another is from external causes as kernels pins sharp corrupt or much meat and then a vomit does good and if poyson have been taken things alexipharmacal must presently be applied Another is from internal causes 1. From humors viz. Cholerick Flegmatick either falling thither from some other part as is wont to be in feavers or generated there which if by mixing with the meat they become less acrid upon taking of nourishment the paine is asswaged if cleaving to the coates they are stirred by taking of meat or sticking to the bottom they be raised up the paine is increased after meat The cure ought to be sought from the chapters of distempers Observe that hiera in a tough humor ought to be mixt with stronger medicines that it may overcome the matter Zacutus his syrup and pouder Lib. ult c. 2. n. 11. hist is very good 2. From vapors either contained there of which Tit. 2. c. 1. a. 4. Or sent from some other part from the womb worms c. 3. From worms ascending to the orifice of which in its place III. Another is from diseases molesting the Stomach viz. distemper tumors wounds ulcers c. of which we treated before II. The heat of the stomach is an ebullition of humors in the stomach caused by the power of preternatural heat so that the heat is perceived even to the throat There is no need of signs in this symptom The CAUSES are acrid vapors raised either from meat acrid in its own nature in cholerick bodies during the concoction of the meat and the Stomach troubled with strong motion raised up from a cholerick humor which whiles they are compelled to break forth by the gullet sticking there they burn that and the mouth of the Stomach The CURE is more difficult in those whose substance of the stomach is as it were besmeared with choler because the Region of it is dyed by the bladder of gal with a saffron color and the same ftain doth penetrate even to the internal membrane It doth respect 1. The heat it self to allay the which many remedies are given the cheif are these a Bolus compounded of two drams of sugar of Roses two ounces of crabs eyes prepared and bole armenick half an ounce swallowed in parcells A pouder compounded of Christal calcined one dram and an half Pearles prepared one scruple Coral prepared Chalk each one dram Sugar Candy two drams the dose is one dram given in drink Spirit of vitriol coagulated one scruple given in drink which ought to follow a liniment of the best pomado half an ounce Camphire one dram oyl of bricks two drams badgers greaâ—e half an ounce Salt of vitriol one dram 2. The cause of the heat which is to be tempered and emptyed Article 2. Of the want of Appetite An anorexy is the prostration of appetite in relation to al meats arising from the defect of the sence of sucking in the upper orifice of the Stomach This symptom needs no Signs The patient complaineth and 't is observable by the standers by The CAUSE is the defect of the sence of sucking in the lower orifice of the Stomach which from whence it proceeds shal be said in its differences The CURE is doubtful if it happen in the declination of a disease or from the long continuance of it or from weakness or moderate evacuation because it indicates the extinction of natural heat and threatens a relapse If it befal children who are naturally great eaters and want much nourishment because it signifies a great preternatural excess If it afflict in a disease of long continuance with sincere stooles because it shews an extinction of the appetitive faculty in the orifice of the stomach either by reason of extraordinary cold or of some matter extreamly putrefied If it arise from the brain by the hurt of the nerves of the sixth conjugation Of little hope if in some disease there presently follow it a great appetite to meat no crisis preceding nor an abatement of the disease because it signifies a hurt of the brain and an extinction of the sensitive faculty It relates to the causes of which we shal treat in the differences The differences of the prostraction of appetite are various I. One is Greater which is properly called Anorexy in which nothing at al is desired with which agrees the former definition Another is less called a dysorexy in which meat is desired but less or later than nature requires it it and arises from the sence of sucking weakned or overthrown II. There is another without nauseousness and hating of meats which may be called shappetency of the Causes of which shal be treated in the following difference Another with hating and t is called a loathing of meats It ariseth from Cholerick and corrupt Juyces yet void of acidity and saltness which because they are unfit to nourish the body they are not suckt in by the veins yet do possess the Orifice of the Stomach 'T is Cured with those things which do correct a hot distemper and empty the Humor See the Cataplasme in Zacutus l. vlt. c. 1. n. 5. III. There is another from the want of Sucking which is Caused 1. By the abundance of nourishment in the whol body in which the strength is not cast down the which is taken away by fasting exercise frictions c. 2. By an impotency in the Stomach to corrugate or wrinkle iâ— self up either by reason of a distemper either hot relaxing the stomach and diffusing the matter or cold destroying the Native heat the first Cause of appetite or by reason of a redundancy of vitious humors especially crude Excrement insipid
be cured from the simples Chap. 2. Of the diseases of Distemper with Matter A Material distemper is the irregularity of the natural temper of Mans Body by the presence of some morbifick matter The Signs wil be known from the following differences The Cause is a preternatural Humor and that is 1. Either collected by little and little either through weakness of the part or fault of the Nutriment 2. Or affluent either by attraction or by reason of transmission either from the whol body or from some certaine parts The Cure is perfected 1. By alteration with Contraries if we consider the disease 2. By evacuation if need be and that by blood-letting if a Plethory be offensive by Purgation if Cacochymia or badness of humors off end by sweat if the matter tend to the skin by vomit if to the upper parts by diureticks if to the Urinary passages III. By opposite diet 'T is divided into so many distempers as the material I. One sort springs from blood or a plethorick Constitution of Body when such humors as are fit to nourish the Body abound c. 'T is knowen by weatiness c. It arises from good Nutriment c. 'T is cured I. By Blood-letting II. By alteration with coolers and moistners especially such as are appropriate to the Liver 'T is divided two manner of waies 1. One sort is from an exquisite plethora to which al the precedent notes agree 2. Another is from a bastard plethora wherein the cure requires purging likewise 3. Another springs from a plethora ad vasa Another from a plethora ad vires of which we spake before II. Another kind springs from excrementitious choler which is hot and dry 'T is hardly cured if it proceed from the yellow choler Never almost if it proceed from leek colored eg-yolk-colored or verdigreise-colored choler c. The Cure is performed 1. By alteration with cooling and moistning medicaments and if it be very thin with thickness if thick by cutters Among the former the cheif are Stalks of Italian Lettices flowers of water lillie Porslain Plantain Tamarinds Jujubees red poppy among the latter the cheif are roots of Cichory Dandilion Sorrel such things as are made of these Spirit of vitriol Salt 2. By evacuation either by bloodletting when cholor is mingled with the blood or by purgation by stool with cholagogues The cheif cholagogues or choler purgers are Rhubarb which is neither to be given alone because it is subject to fume nor to such as are troubled with the strangury tamarinds aloes rosata which is taken only in pils Syrup of the flowers of Acacea of Roses solutive which must not be given to women with child Pils of Ruffi c. By a cooling and moistening diet III. Another is from preternatural flegm which is cold and moist 'T is cured I. By alteration with medicaments hot and dry attenuateing and cutting Where note that we must at first abstain from very hot things lest the matter being dissolved should swel with greater motion and that the thinner parts being consumed the thicker should remain We must avoid strong openers in a woman wth child The strongest of al are Lignum guaiacum China root Sassafras Salsaparilla and Oxymel Scylliticum Hot stomach medicaments are to be interposed because the stomach languishes through overmuch heat II. By evacuation with Phelgm purgers the chief among those indifferently strong are Mechoacanna of which Lozenges are made it works most effectually given in pouder Carthamus seeds and Agarick trochisked Among the stronger are jalap roote given with Cream of Tartar Syrup of Coloquintida and the Pils of Sagapenum of Horstius The Golden spirit of Rulandus III. By blood-letting provided the Heat be not dissipated being expressed with flegm and that there be a plethora IV. By an heating and drying diet let the Aire be hot and dry the meats seasoned with spices let strong wine be used the body being first purged Frequent use of Cappars with wine and raisins IV. Another sort comes from preternatural Melancholly whether thick or dilute or degenerating into black choler 'T is cured I By alteration with heaters and dryers provided it be not black choler The roots of Eryngos Lycorize the Herbes of Ceterach Baume Dodder Flowers of borrage tamarisk Cappars the cordial flowers Syrup of sweet smelling Apples c. Avoid Vinegar and if it must be used give oxymel and a decoction of Citron peels II. By evacuation with Melanagogues or melancholly purgers The cheif are Polipody sena Extract of black hellebore The diet must be heating moistning The Aire must be tempered with a decoction of Mallows and violets let the patients meates be boyled rather than rost Egs soft-boiled flesh of henns calves partriches corants a temperate bath of fresh water c. V. Another Sort comes from Serum or the wheyish humor which is a thin and Salt liquor by its aboundance and quality altering the body of man 'T is cured by evacuation with hydragogues sudorificks Diuriticks c. The cheif Hydragogues are among the indifferently strong the tope of elder when they first shoot forth dried with a gentle heat an emulsion of the stones of elder-berries Orice root Among the strongare Gambogia Jalap Extract of Elatery conserve of Esulâ— pils of Sagapenum The cheif sudorificks are Spirit of dwarfe elder and of elder Salt of Cenâ—ory of worm wood of Ash of Scabious Harts born prepared Antimony diaphoretick bezoardicum jovial Among diucitick are the diuretical liquor and syrup of Rivius in Renodeus his dispensatory Salt of Vrine Amber beanes Spirit of Salt liquor of tarrar Vitriolated half a scruple compounded with half an ounce of Cinnamon water and two ounces of julep of roses VI. Another is compound springing from some of these humors mingled together In the Cure we must so work that we resist cheifly those humors which most of al exercise their efficacy upon the body not neglecting the rest either within or without This wil be done when the veins are free from the obstruction al the passages of the body open the humors not being much distempered and the noble bowels of the Body not diseased Here panchymagoga or al-humor-purgers are to be used and the Imperial pils of Fernelius which may be seen in the London Dispensatory Chap. 3. Of Diseases springing from Hidden qualities DIseases from hidden Qualities are diseases springing from Causes which work by a malignant and venemous force which cannot be judged to spring from the manifest qualities of natural bodies The Signs are when a disease has rare symptoms great ones and such as are not to be seen in other sicknesses no not of the same kind When there has preceeded some suspition either of some great degree of putrifaction arisen in the body or of infected aâ—re or of contagion or of poison either taken in or communicated from without The Cause is various as shal be explained in the differences The Event of the cure is judged of from the
speak somwhat thereof in general in this place A single Chapter Of Pain in general PAin is a sad and troublesome disposition arifing from a sudden and vehement alteration in the sence of feeling The Subject are the nervous parts especially the thicker membranes which bring vehement pains SIGNS are needless the sence it self shews it The CAUSE is whatsoever eminently and suddenly alters the part or dssolves the Continuity thereof The CURE must be hastened least a fluxion be raised especially in a vehement one the Disease also must be set aside if there be no other Remedy 'T is performed I. By intigation with Anodynes and Narcoticks Among the former oyl of Lillies Earth-wormes Chamomel a Cataplasme of bread Crums milk and Safron boiled together a pultis of Marsh-mallow roots boyled in Milk Grulingus his Unguentum Jovis Among the latter are the extract of Thorn apple seeds the Narcotick trochisks of Fernelius Quandanum opiatum II. By removal of the Causes both by internal and external remedies The Differences are taken either from the Causes or from the parts affected I. One kind of pain comes from an eminent and sudden alteration of quality which is taken away by the remedies of a contrary quality And it comes either from heat and dryness then the causes have preceded the pained part is red we must go to work with things cold and moist Or from cold dryness the suitable Causes have preceded The skin is white or growes black and blew by binding 'T is eased with things hot and moist Another springs from Solution of Continuity which is caused either by many humors which stretch sharp ones which fret in which cases bleeding and purgations are useful Or from winds which teare as it were in sunder in which case having premised Carminatives we must deale with universals Or from external Causes beating cutting burning where the Cure must be directed to each particular Cause II. One fâ—â—rt is pricking in the Membrans which compass the ribs and subcostal Muscles Another is beating proper to the Arteries the sign of a great inflamation Another is a dul paine and mâ—â—medness which happens in the fleshy membrane which is spred out beneath the skin which happens from Refrigeration external Contusion or compression Another is a pain as of some heavy thing which burthens which is commonly felt in the kidnies sometimes in the Liver and spleen Another is a stretching paine according to the longitude of the part proper to the Nerves which extends it self into both parts of the Nerves Another is stretching according to the latitude proper to the membranes which cover the muscles Another is wandring which arises for the most part from winds in the larger Cavities of the Belly womb c. Another is a boring pain in the Guts it arises from cold humors fastned into their Coats Another is a leaping paine which happens in the coats of the brain where rising as it were from a root it suddenly leaps into the Circumjacent parts Another is Vlcerative or soreish which commonly happens in the skin and parts beneath the same also in the Gutts from the Acrimony of Humors and worms is common to the dysentery Another is deep which happens in the periostium presents it self to the senses as if the bones themselves did ake or the marrow in the bones And so much for the first differences of Diseases THE SIXTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Treating of External Diseases Title I. Of the Several sorts of Tumors SO much may suffice to have spoken of Diseases in general and of their cure Diseases considered in their several sorts are either External or Internal The former are Tumor or Sewllings Diseases of the Skin Diseases of the Hair Vlcers Dislocations or Disjointing and Fractures and therefore there wil be likwise just so many Titles in this Book Chap. 1. Of Swellings or Tumors Caused by Blood Article I. Touching over-great Corpulency SOme Tumors spring from Blood others from Choller Flegm Melancholly from Watry and wheyish Humors and some from a Mixture of these one with another Those which spring from Blood are Over-great Corpulency Inflamations Bubo's Phygetlon Phyma Furunculus Parotis Paronychia Perniona's Ecchymofis Carbunculus Corpulentia nimia is an over-great increase of the Bodies Bulk caused by too much plenty of Flesh and Fat Signes are needless The Consequences thereof are an Hindrance of the Motions and Operations of the body shortness of breath by reason of the passages being stopt somtimes suddain Death in such as grow Fat when they are young Barrenness because of the seeds watrishness The CAUSE is the Increase of Flesh and Fat The CURE varies according to the variety of the Differences The DIFFERENCES are taken from the Causes I. One sort springs from Encrease of Flesh which is Caused through plenty of good Blood made by a temperate Liver out of meates of good Juyce the hot and moist temper of the Musculous pâ—rts of the Body assisting thereunto It is Cured 1. By Evacuation through Blood letting Cupping Fasting Eriction 2. By Consuming the Flesh with such things as strongly dry and moderately heat II. Another from the encrease of Fat caused by the Oyliness and fattyness of the Blood falling out of the Veins into the Membranous parts and there congealed by the moderate heat and Efficacy of the said parts T is Cured 1. By Evacuation but it must be sparing because such persons are apt to fal into cold Diseases 2. By Consumption of the Fat effected by things hot bitter diuretick yet so as care be had that by over much heating another Disease be not Caused Article II. Of an Inflamation An Inflamation is a Preternatural swelling of the fleshy parts springing from blood which besides the intent of Nature flows into the said parts The SIGNES are Heat which is caused partly by reason of the Blood partly by the stoppage of the pores springing from plenty and thickness of blood which stoppage wil not suffer the Fuliginous Vapors to exhale and partly by the bloods putrefaction Pain both by reason of the distemper and the solution of continuity caused by plenty of blood filling and distending the part Redness the blood communicating its color to the part affected Tension or Stretching because of the abundance of blood distending the whol substance of the Part. Renitency or Tightness from the same Cause Pulsation by reason of the distention of the inflamed parts caused by the heaving of the Artery which wants freedom of roome to move it self The CAUSE is the plenty of blood or its sharpness by reason of Chollerick Humors which because they provoke Nature they are by her thrust out she using the blood as her Vehicle or Chariot to ride in which flowes plentifully to the part by reason of its pain The Manner of its Breeding is this An Hot Fluxion causing the blood to fal into the Muscles first the great Veins then the lesser then the least of al are distended And when
the fluxion can be in them no longer contained it partly sweats through the Coats of the Vessels which have also their pores and is partly sent out of the smal Orifices of the Capillary Veins which open themselves into the substance of the part and shed into the empty spaces which are between the first bodies or Particles whence the parts gather Heat The CURE is performed 1. By Blood letting that more blood may not flow into the part If we should presently fal to work with repellers the matter would be carryed to another place 2. By Purgation because sharp Humors give occasion to the Flux 3. By Alteration that the blood may be cooled and thickned provided the Veins be not strait and the Patient not troubled with obstruction of the Bowels 4. By Revulsion that the Humor may be drawn to a contrary part which is then best performed by bloodletting when the matter is much in quantity and violently moved by other waies and means when it is little Yea and in such a case it may be done by Repellers and Discussers 5. By Repulsion with repelling Medicaments either watry only or withal restringent The Former are to be used in thine Humors seated in the surface of the Body not much in quantity Joyned with Heat and of that sort are House leek Venus-navil or Penny-wort Violets and such like The Latter have place in extremity of pain where the Vessels are large and the fluxion is caused through weakness of the parts affected Chirurgeons frequently use the Whites of Eggs beaten together with Rose-water 6. By Interception with Defensative Medicaments which are fitly applied to such parts as are not fleshy and through which the larger Vessels run Oyl is judged improper to be mingled with these kind of Medicaments 7. By Derivation of that blood which has flowed into the parts 8. By Discussion with discussive Medicaments amongst which the Gentler are the Roots of Marsh-Mallows and of white Lillys Chamamel flowers c. The Stronger Orice Roots Elder flowers Gum Ammoniack Bdellium Bears Grease The Strongest of al are Nitre Sulphur Lime c. The DIFFERENCES are taken from the subject and Cause From the Subject 1. There is one of the Fleshy parts which is finished in the fourteenth day Another of the Tendons and Ligaments which because their substance is more compact and hard is terminated with greater difficulty yet it does not exceed the fortieth day From the Cause Either it is from good Blood and is termed simply a Phlegmon or Inflamation or from bad Blood which has either quite changed its nature and that raises no kind of swelling or it has other Humors mingled therewith and then if Choller be mingled it causes that Inflamation which is termed Phlegmone Exysipelatodes is flegm Phlegmon Oedematodes if Melancholy Phlegmon Scirrhodes Article III. Of the Bubo or Inflamation so called The Bubo is an Inflamatian of the Kernels which are seated in the Arme-pits or in the Groines The SIGNES are a stif swelling that yeilds not to the touch with redness pain and a slight fever The CAUSE is Blood slipt into the Kernels together with a vitious Humor provoking Nature to expulsion The CURE is Doubtful when they ripen slowly because they may turn to dangerous fistulaes It is according to the Cure of Inflamations Digestion must be procured by stronger Medicaments because the part affected is colder Suppuration ought to be hastened least new ones should break forth The Balsam of Sulfur and the Plaister of Sulphur of Rulandus are commended The Differences are divers I. One is Symptomatical to which that which was lately said is appliable Another is Critical which follows another Disease and eases the sick by its breaking forth It must be left to Nature if the Crisis be perfect if it be imperfect the Humor must be drawn forth by Cupping-Glasses and drawing Medicaments II. One sort comes in the Groines which is sooner ripe because it springs from blood and more Heat flows to those parts Another is in the Arme pits which for the contrary Cause is long ere it come to Maturity III. Some Buboes are Neither Malignant nor Contagious which being in the extream parts of the Body are soon suppurated and not dangerous Others are Malignant Pestilential or Venerious of which see in their proper places Article IIII. Of the Phygetlon Phyma Furunculus or Felon Tumor so called Phygetlon or Panus is an hard swelling somtimes arising after Feavers or pains in the Kernels or Almonds of the Eares It Arises either Externally from an Ulcer Pain Bruise or Internally from Chollerick Blood or a Feaver and is long in ripening Oyl of Guaiacum Wood is good in this case Phyma is a round swelling of the Kernels smaller and flatter than the Phygetlon less read and less painful which soon comes to its height and turnes to suppuration It Arises from Flegmatick Blood and troubles Children cheifly It is Cured by ripning through application of tosted Wheat c. Furunculus or Dothien a Felon is a little swelling sharp pointed not exceeding the largness of a Pigeons Egg remarkeable for its redness and pain when it tends to Suppuration Its Signes are known by the definition It seldom comes single It Springs from thick blood and is thereby distinguished from an Inflamation and the said Blood is not much a dust and so it is differenced from a Carbuncle The Cure is easie especially if it rise high pointed and is not hard nor forked It is performed by Ripening It is either Mild and Gentle occupying only the Skin or Malignant rooted in the flesh Or it is Pestilentical and Epidemical which being black or green is joyned with a Malignant Feaver Article V. Of the Tumer Parotis Parotis is an Inflamation of the Kernels behind the Eares proceeding from Blood either pure or mixed with vitious Humors The Signs are Swelling Pain Redness which appears behind the Ears The Cause is blood either alone or mixed with other vitious Humors which slips into these parts being sent from the whol body or from rhe Brain In the Cure we must not repel but Discuss by gentle Medicaments least stronger should exasperate the Pain Also Suppuration may be procured when Nature tends that way The DIFFERENCES are divers I. One sort is Critical arising with Critical signs which is easie to cure unless it hapen in the end of a Disease after other Evacuations without the Abatement of the Symptomes If it vanish away without Suppuration it wil come again It must be left to Nature and being returned it must be judged of according to the Nature of its return Another is Symptomatical which if it spring from crude and undigested matter it is dangerous because the place is so nigh the brain In the Cure its antecedent Cause must be deminished and the Matter discussed softened and opened that the Quittor may do no hurt II. Some are without feavers others with feavers which are more dangerous III. Some are without Malignity others are Pestilential
Choler and putrified matter is inflamed about those parts or when matter swelling and fermenting in the Veins rushes violently and settles it self thereabouts 8. Head-ach want of Sleep Apileptick Convulsions c. Of which in their places Title II. Of Vnputrid Feavers Chap. 1 Of the Feaver Ephemera UNputrid Feavers are either the Ephemera or the Synocha simplex The Feaver Ephemera is a feaver which arises from the Inflamation of the Vital spirits in the heart and continues the space of one day 'T is termed Ephemera because it transcends not the natural day as the Beast Ephemeron and Colchicum Ephemeron a plant so called The SIGNS are A sudden heat arises in the Body no loathing of meat or wearyness without cause deep sleep or frequent Yawning having preceeded with none or very slight shivering unless the Body be ful of bad juyce diffusing much and biting expiration which by reason of the colds stopping the skin or the closing up of the secret passages being suppressed smites the Nerves The Vrin in color substance and sediment is little or nothing differing from the natural unless the Cause which brought in the Feaver have raised some extraordinary mutation in the blood The pulse is more quick and frequent than ordinary but yet even ordinate great and strong Inspiration is greater and quicker than expiration The CAUSES are procatarctick of which in the differences The CURE is easie unless it change into a Synocha imputrid in a youthful and ful body or into a putrid the fourth or fift day in a body Cacochymical or into an hectick in an Hot Dry thin body 'T is Absolved 1. By Alteration through cooling and moistening things given inwardly and applied outwardly to the Region of the Heart the pulse and forehead 2. By Evacuation or opening a Vein if there be a plethora or by gentle Purgation if it arise from a redundancy of evil Humors and some light obstruction 3. By strengthening the Stomach Regard being had to the Humor and Symptomes The Differences of the Feaver Ephemera are taken from the causes I. One sort comes from Cold Air striatning the skin Then the beginning is without shivering The Urine and pulse are little changed the Heat is more moderate in the state T is Cured by removing the Cause II. Another springs from Buboes which is known by the presence of Buboes by a swift and great pulse by much heat by a ruddy Face 'T is Cured by blood-letting by which if blood be sufficiently taken away the Bubo appearing a little vanishes away by the use of repellers or relaxers if not it must by fomentations be brought to suppuration Vide B. 2. de Bubone III. Another from straitness of the skin which is known by the hardness and compactness of the Patients skin other things being as in other persons healthy It arises from plenty of blood cold binding or dryness 'T is Cured 1. By Blood-letting if the blood offend in quantity 2. By Purgation cutters being premised where there is plenty of thick Humors and swear is wont to follow 3. By relaxation with hot and moist things temperate baths moderate frictions frequent washing if it proceed from cold IIII. From Crudity and that nidorous which is known by the presence of such signs as attend a Diseased Stomach 'T is Cured 1. By Vomit if stomach sicknes and Aptitude to Vomit be present 2. By Purgation if there be danger in Vomiting 3. By Corroboration with Medicaments whose quality is opposite to the peccant Humor V. Another springs from Heat of weather Anger Sad Pensiveness Watchings Wearyness c. Of al which consult with Practitioners Chap. 2. Of the Feaver Sinocha Simplex THe feaver Synocha simple or the Ephemera of many daies is a Feaver without putrefaction arising of the Boyling and working of the spirits and blood without remission lasting three four or more daies 'T is termed also Inflativa or Puff-up because when the blood works and boyles the Vessels are distended and a wearyness of the body is perceived Its SIGNS are wearyness which comes of it self without any exercise of the Body Heaviness about the temples and forehead A certain Itch of the Nostrils a gentle Heat Moistness of the skin with distention of the Members A pulse great ful frequent quick Difficulty in fetching breath Urine thicker and more red than ordinary The CAUSE is the working and boyling of thin blood which arise from the hinderance of Transpiration in a plethorick body which sends forth many hot Vapours The CURE is not very hard because it seizes for the most part strong bodies or temperate ones or such as are hot or moist of middle Age of a fleshy square Alderman-like constitution unless it degenerate into another sort 'T is allayed and terminated somtimes by sweat or by plentyful Nose-bleeding within the fourth or at most the seventh day unless through some very great Error of the Patient the Physitian or the Assistants of the sick it turn to a putrid feaver or a greivous Disease which is wont to spring from fullness 'T is performed 1. By Blood-letting by which the Patient is cooled and the encrease of Vapors is diminished but it must be speedy little in quantity and divers times celebrated 2. By Evacuation of the first Region least more fumes be added to the store Tamarinds Rhubarb Syrupe of Roses solutive Cream of Tartar are good 3. By Alteration which ought to be performed by cooling potions the spirit of salt and vitriol being mixed therewith Clysters Oxyrrhodines Epithemes Bathes for such as are accustomed to them but not before the Rigor of the Feaver be over 4. By Corroberation with Manus Christi perled Diamargaritum Frigidum Conserve of Roses Vitriolated of Wood-sorrel c. 5. By a cooling and Moistening Diet. Title III. Of Putrid Feavers in General A Putrid Feaver is Generally or Specially considered A Putrid Feaver in general is a Feaver which arises from hot Vapors raised out of the Putrefaction of humors which affect the heart with a praeternatural heat SIGNS thereof are Invation with shivering and shaking no antecedent Cause having preceded No nor no procatarctick unless the body be so disposed that a smal matter affects it Accessions and Paroxysmes or fits which yet agrees not with al. The heat at the beginning is not biting by reason of suffocation biting in the augment by reason of a Fuliginous excrement The Vrine is crude or obscurely digested The Pulse is at first smal the contraction swifter then the dilatation by reason of plenty of sooty excrement It abates upon sweat or some other Evacuation The Causes immediate are putred vapors sharp biting plentiful so as they cannot be discussed The Mediate is the putrefaction of humors whose cause 1. In the first assault of the Fever is either their bad nature contracted from meats of bad juyce which soon putrifie from il preperation and use of diet and the faults of the Parts which serve concoction or an External agent where hindrance of
also voided by Urine not much at once as in persons of good constitution nor with pain of the Kidneis as in solution of the fatness of the Kidneys but slowly and a little at a time Sediment like bran is seen in the Urine without any Disease in the bladder swelling of the Thighs and a looseness which threatens Death Another is when the Fibrous and Membranous substance is violated by the Feaverish heat Hence follows the Marasmos which happens somtimes to Young and Old Preternaturally somtimes through defect of Aliment and extinction of the natural heat either in regard of Age or of some Scirrhous Tumor See thereof Joel in the foresaid Tome II. One sort is simple to which what has been before said in general may be applied Another is Complicated and that either with a Putrid intermittent and then the greatest part of the Heat remains in fiery and the least is come into Act. The fit being finished the places of the Arteries grow hot the other parts are temperate The Pulse looses not its frequency and swiftness and the Patients meat does not eucrease strength Or with a Continual Putrid and then t is hardly known The dry heat remains after the end of the declination or of the whole Feaver The Body is more extenuated The Urine is fatty and Oyly Title V. Of Malignant Feavers Chap. 1. Of Malignant Feavers in General HItherto we have treated of Benigne or wel affected Feavers the Malignants come next which are Generally or specially to be considered Malignant Feavers generally considered are Feavers arising from some hidden cause partaking of a Venemous kind of Quality causing more grevious Symptomes than ordinary and yet not killing many or suddenly Their SIGNS are great weakness from the begining without any manifest Cause more than the Feaver and Feaverish heat could probably produce Pulse frequent Smal Weak or if the Pulse being natural seem to deceive t is known by the presence of other Symptomes The Vrins are some times in the first daies like those of heathly persons somtimes thick colored troubled having a thick red and troubled sediment The Heat milder than sutes with the Nature of the Disease and Symptomes A Mass of Symptomes animal Vital and natural Swellings or spots break forth c. The CAUSE are either the Disposition and Plenty of Humors or Contagion The CURE is Hard if greater and more constant Symptomes appear Dropping of blood at the beginning signifies the working of the Humors their bad Quality and the Patients weakness T is performed bp Bezoardicks and other things of which in the Differences The Differences of Malignant Feavers are taken from the Causes I. Some are from the Bad Dispositions of Humors and their Plenty whether in the stomach about the Midrif or in the first waies They are known by Stomach-sickness Pain Heat Bitterness of the Mouth anxiety and other tokens They arise either from corrupt meats or from some other cause Are Cured 1. By Blood-letting which ought to be Practised after the Evacuation of the first waies by Lenitive Medicaments least a greater Ebullition and working of the Humors becaused and that before the fourth day 2. By giving of Sudorificks which neither augment the Feaver nor are very strong that either the Body may be disposed to sweat or at least the Malignity may be expelled 3. By alteration and preparation with such things as stop the Commotion of the blood and refist the malignity thereof The Juyce of Citrons Pomegranates and the Root of Scorzonera are commended c. Yea and also the spirit of Vitriol with other Syrups unless the Patients be aged and lean and unless their Lungs be otherwise diseased than through flegm stopping the Vessels IIII. By Purgation which ought to be effected by gentle Medicaments and scarce before the fourteenth day V. By giving cooling diureticks if the matter of the Disease go that way VI. By application of Topicks to the Pulses and the heart al the time of the Disease VII By mitigation or taking away such Symptomes as shal happen VIII By Diet in which we must abstain from wine unless faintings happen A Decoction of Harts-horn with such a Quantity of spirit of Vitriol as may cause a grateful acidity to which a little Julep of Roses or Viollets may be added must be given They are divided two waies I. Somtime there is no Poyson but the Disease is urgent by reason of the Causes Vehemence or some evil quality conjoyned Somtimes there is an hidden Venemous Quality 2. Somtimes the Putrefaction and Malignity are equal Somtimes the Putrefaction is greater than the Malignity Where the first waies must be Evacuated not only by Clysters but also by Syrupe of Roses solutive Cassia Tamarinds c. Somtimes the Malignity is greater than the Putrefaction Some arise from Contagion in which the Cure ought to be undertaken by Sudorificks and Antidotes and Nature must be assisted if she expel any thing Chap. 1. Of the several sorts of Malignant Feavers Article I. Of the smal Pocks MAlignant Feavers specially considered contain under them Feavers with smal Pocks Meazels and such like Eruptions the spotted Feavers Sweating-sickness of England The Hungarian Disease the Feaver with the Cramp and the Feaver with a Catarrb and Cough The Smal poxe are pustles arising by means of the expulsive faculty on the surface of the skin and parts that hold proportion with the skin with a continual feaver by reason of a peculiar boiling of the Blood The SIGNES of the smal poxe when present are needless for they appear to our Eyesight That they wil shortly come forth is signified by paine of the head with heaviness of the eyes also of the neck and back itching of the nostrils Diminution of Respiration dryness of the cough trembling of the Feet the when patient turns frequent sneesing panting of the heart The Vrin is somtimes like that of Healthy bodies the vitious matter being driven into the outward parts of the body somtimes it is troubled by reason of the great working of the Humors Tears bursting out of the eyes without any cause of sorrow A feaver raise by the working and boiling of the humors Spod breaking forth of the Body c. The CAUSE is either external viz. Impurity of the Mothers Blood which the infant in the womb atracts in the last months because there is none purer This blood being drawn into the whole fleshy substance is for some yeares insensibly hidden at length no longer able to beare it it begins to ferment like new wine or beere that works by which frementation or working the pure is seperated from the impure the impurity is drawn forth by a certain kind of Crisis and the Heat is â—mmunicated to the heart and a feaver raised Or external or contagious when out of Bodies so diseased a sickly vapour is comunicated to another or the Air which by reason of the Influence of the stars or other causes does either rupt the humors or set them in agitation
Differences are taken from the Quanrity and color 1. Some are plentiful others few 2. Soâ—â—e smal others great 3. Some are red from putrefaction of temperate blood others Yellow or Green from choler others of a Pomegranâ—â—â— and Black-choler from Melancholy c. Article IV. Of the Hungarian Disease Morbus Hungaricus is a continual feaâ—er malignant and contagious Joâ—nâ—â—l with abundance of evil bumorâ— about the stomaâ—â— and first Passages and with an extream he adach It may be called the Compe or Soldiers-sickness because it had its original in the Soldiers Camps Its Signs are the same with those of malignant Feavers Also great pains in the Head as also hardness aboue the stomach and are renitency to the touch I under the Mucronata Cartilage cavings which cease when the matter turnes to the Ears and causes Deafness many times spotâ— appear as in the spotted Feaver c. The CAUSE is either their Putrefaction and corrouption of Humors in Veâ—â—â— Caâ—â— or Contagion The CURE is hopeful if the matter rend to the Ears If it be Evacuated by 〈◊〉 'T is Performed according to the Nature of the Causes which see in the Differences and has great respect both to the Feaver and the malignity 'T is divided with respect to the Causes One sort comes from Corruption of humors in the Vena Cava which are cumulated by Errors in Diet. For the Hungarian Air is thick a Nights thin and hot a daies The Soldiers neceive in the Vapors which exâ—â—â—e from the ground Their Diet is commonly had and tending of it self to putrefaction c. 'T is known by the Diet foregoing and pain of the stomach 'T is Cured 1. By drawing forth the Humors both by stoole where Agarick is commended and by vomit also by opening a Vein in the Arme or Ankle which must be done the first or second day if some daies are slipped and either the belly be loose or vomiting happen omit it 2. By Dispelling the maliguity by moderate Sudorâ—ficks frequently given where both Antimony Diaphoretick and Treacle are useful given in cooling Waters 3. By Diet suitable to malignant Feavers Those that drink Wine â—â—esure to die for it Another comes by Contagion or Infection in which case Purgeâ—s 〈◊〉 Vomiters must be â—miteed and only the maligniâ—y resisâ—â— Article V. Of the Sweating sickness the â—â—lignant Feaver with Cramping 〈◊〉 that with the Cough and Cataâ—â— The Sâ—â—or Anglicus or sweating-Feaver began in England in the daâ—es of Heneâ—y the seventh vexing the Patients with exâ—â—â—am Head-ach Vnquietness Panting of the heart pâ—â—peâ—ual and plentyful sweats The Câ—â—se is said to be the moist and Venemous Constitution of the Air enemy to the spirits Heart and more subâ—ile part of Humors one peculiar Influx of the stars concurring to the said Corruption T was Cured meerly with Sudorificks viz. Sorrel Water Scabious water Terra Sigillata c. The sweat was â—â—â—â—inâ—ed twenty four 〈◊〉 ours together The Patient was not permitted to sleep 〈◊〉 the sweat was overâ— nor to be uncovered but was in the mean while refreshed with the Juyce of Ciâ—rons Pomegâ—â—ats c. The Malignant Feaver with a Cramp which arose in Germany in the year 1596. Does vex the Patient with sundry Symptomes and the Cramp among the rest Many were suddenly taken some with falling sicknesâ— others with the Apoplexy in some ravings did endure for some daies by reason of the Contagion which in the space of two years after did Glew it self spread abroad c. 'T is Caused as was thought by pesâ—â—lent Ichors or blood-waters and malignant Vapors infesting the Nerves Which were judged to arise from bad diet occasiond by a general Death In the Câ—â—â— the had and Veâ—emouâ— matter was removed and the Nerves being debiliated were made strong again See touching this Disease a discourse of the Phyâ—â—tians of the Vâ—â—â—â—ty of Marpurge and Sennertus Book 4. Chap. â—6 De Febâ—ibâ—s A. Malignant Feaver with a Catarrh and Epidemiâ—â— Cough arose in the year 1980. And about the rising of the Dog star or beginning of the Dog daies it ranged almost al Europe over It took the Patients with a feaverish heat Head-ach and dry Cough pain of the brest and Septum Transversum roughness of the Jaws shortness of breath c. 'T is thought to arise from the moist constitution of the forgoing years and continual blowing of the South â—wind The Feavers Cause might be the Rheumatick matter diffused through the Veins unless hapily the Feaver being the pâ—â—macy Disease I Nature endeavoured to eject part of the Humor she was troubled with that way In the Cure respect was had to the Humor which Fomented the malignity which was expelled and the malignity it self which was encountted with Alexipharmaca and the Reliques of the Humor were altered To the Member affected which was assisted by appropriate Medicaments Title VI. Of Pestilential Feavers A Pestilential Feaver is a continual putrid Feaver which arises cheifly from the Air and Contagion kils most it seazes receives Putrefaction and beat from the destructive and Venemous Nature of the poysonous Seminary and afflicts the Patient with Bubo's and Carbuncles and greater Symptomes than are usual in malignant Feavers Its SIGNS are Symptomes Fewer and milder than are usual in the Plague of which we shal treat in the next Chapter fee more in the Differences The CAUSES are the same with those of the Plague and differ only in respect of the Contagion Vehemence and Magnitude The CURE is hard or easie according to the multitude Paucity Benignity or Vehemence of the Symptomes Regard is therein to be had both of the Pestilential Venom and of the Putrefaction and Feaver which are to be compared one to another T is Performed I. By Sudorificks not very hot especially if the malignity and Putrefaction are more urgent Distilled waters are most efficacious and Volatil salt of Harts-born II. By Blood-letting before the malignity be shed abroad into the whole Mass of Blood other things being considered which are contained in the general Precepts III. By Purgation of the first Passages especially by Clysters especially if bad Humors abounding be the Cause but Antidotes must be given afterwards IV. By Application of Vesicatories to the Thighs Armes the bending of the Arm as the place shal advise to which the matter we would reveal or derive does take its Cause or about which t is cheifly resident This Feaver admits a threefold Division I. One sort comes with the Pestilence another is without the Pestilence II. One sort in which Both Putrefaction and malignant are at the Height Then the Patients are extream weakened and by reason of the Putrefaction divers Symptomes as watching Headâ—ach Unquenchable thirst c. Shew themselves Another in which Putrefaction is high and the malignity remiss Then the Patients are not so much weakened the Heat in the outward parts is answerable to the Putrefaction til the state about which time if the Patient must die the outer parts begin to be luke warm
new wine commonly called musty which even as it were Suffocate and Choak the sick person And then in this case the patients are to be exposed into a free and wholsom Air. The vapours are to be discussed with aqua vitae mingled with treacle and then a vomit or sternutation is to be excited Or else by the Compression of the Skul from some blow And then in this case the standers by and the Patient himself are to be advised withal The brain is to be elevated or lifted up as we shal shew further when we come to treat of a fracture Or else it may proceed from the compression or defect of the Sutures which can no way be corrected or lastly it may have its rise from the Humors and Vapors by their Obstruction which said Humors c. are to be discussed by Fomentations II. Another difference ariseth from Internal Causes to wit I. From Blood either poured forth without their Vessels and so obstructing the Meander-like winding passages thereof or otherwise so distending the Vessels that of necessity the passages must be compressed And then for the most part a Plethory is present and joyned therewithal and the blood oftentimes breaks forth by the Mouth and Nostrils unless this be done it hasteneth on an inflamation c. by its putrefaction and rottenness It is to be Evacuated and drawn back by blood-letting and Cupping-Glasses and then it is to be derived by opening the forehead or the Tongue Vein II. From Flegm that is clammy and thick elther compressing the basis of the Brain or else obstructing the original of the nerves so shutting up and imprisoning the Animal spirits Then some Causes generating Flegm heaviness of the Head dimness or darkness of the Eyes the suppression of the wonted Evacuation of â—legm by the Nostrils and Jaws went before unless this be timely and speedily Evacuated it causeth unavoidably the Palsy c. The Cure is to be begun and proceeded in after the same manner that we shewed before in the Pituitous or Flegmatick distemper III. From Vapors that proceed either from more than ordinary food taken in or else such as is excessively vaporous and windy from which the sick person must now carefully abstain or otherwise from Humors that stick fast in the lower parts which are to be Evacuated Or else in the beginning of Feavers where there is special regard to be had unto the quality and Nature of them and then accordingly the said Humors are to be drawn back and depressed IV. From a Tumor which is hardly ever discovered while the sick person is alive neither is it by any means curable Chap. 4. Of the Commotion of the Brain THe commotion of the Brain is a removal of the same from its natural place by reason of some External and violent causes The Subject of this distemper is the brain but more especially according unto the superior parts thereof The Signs hereof are a sudden Consternation of the sick insomuch that they become as it were altogether dumb speechless and like wise altogether deprived of motion only they open their Eyes The CAUSE is either some violent blow or dangerous fal or the extream and over-long noise of Guns and Thunder-Claps which either only disturb the spirits for the present or else they cause a fracture of the skul The CURE is accomplished I. both by the Revulsion of the Blood by opening a Vein that so it may no longer too abundantly flow thereunto as also by Repulsion or driving of it back again evermore avoiding such things as are dry astringent lest that the pores should be obstructed and the very breathing intercepted II. by Evacuation of the blood if any of it be shed forth by opening a Vein as wel that we cal Puppis that is above the Lambdoid suture as that other which is under the Tongue III. by Discussion and that at the first joyned together with Repulsion but afterward used alone by those Medicaments that heat and moisten It is divided into that which more Moderate and gentle and that that is more grievous The Lighter and gentler of it is that in which the Animal vertue is only with violence drawn back into the brain there followeth no rupture of the Vessels And then there happeneth only a kind of drowsiness or sleepiness and this likewise not over profound The more grievous Species hereof is that in which also the parts of the brain are removed from their Natural Scituation the passages are smitten and the vessels broken Then there chanceth an Aphony or loss of speech Elood is plentifully poured forth by the mouth and Nostrils Vomits like wise by the consent of the Stomach infest and exceedingly afflict the Patient And after this the matter becoming putrid and rotten there ariseth a Feaver a dotage a Sphacelus of the brain c. And the matter being thrust down unto the Nerves other dangerous Symptomes follow thereupon Chap. 5. Of the Inflamation of the Brain THe Inflamation of the brain is a swelling thereof proceeding from blood poured forth out of the Vessels into the void spaces of that part and there putrefying The SIGNS are an acute and continual Feaver which from third day to third day is exasperated a perpetual doting which began sensibly or gradually and by little and little a red kind of color and deformity of the Face and Eyes the Membranes being dryed up by the burning heat Salt and sharp tears the Excrementitious moisture flowing downward as it were of its owns accord by reason of the weakness of the part a swift and quick Pulse c. The CAUSE is blood falling out the Vessels and there putrefying the transpiration there of being intercepted It is Poured or emptyed forth either by reason of its store and over great abundance or else by reason of its thinness and acrimony those things likewise helping forward and furthering the same which either carry the blood to the Head or else at leastwise violently move and stir the same and such are the heat of the Air pain striking a wound wrath c. There is but very little or rather No hope at al of the Cure hereof if a Convulsion follow upon it if the Urin be white and extraordinary clear because then the choler is forcibly drawn up into the Head if a doting being at the first present there follow thereupon gnashing and grating together of the Teeth by reason of the Convulsion of the Muscles in the temples and Jaws if it tend to a suppuration in regard that the Pus or filthy Corrupt matter cannot possibly be evacuated within or betwixt the Skul and the Membrane There may be some hopes if on the critical day store of blood flow forth at the Nostrils if there be much and that hot sweat from the Head and if after the heighth of the disease there be an Evacuation of abundance of yellow choler by the belly There is but smal hope of a Cure if many of the
chased with garlick throughly bruised and then mixt together with wine vinegar or the Urin of an Infant III. there is Another Cephaâ—algy that is such in its own essence we term it primary which now and then ariseth likewise from worms with a certain kind of gnawing and aâ— itching of the nostrills and this comprehendeth under it al the fore-mentioned differences Another there is by the consent of the Heart as in feavers of the hypochondria the stomach the wombe c. and this for the most part is hemacrania and afflâ—cting only the one half of the head see the first Title of the second Chap. of this Book IIII. Another Cephalalgy there is peculiarly and specifically so called which indeed is nothing else than a pain that as it is new so it is also very light and gentle and such as is most easily removed without any great imbicillity and weakness having its original most usually from causes external likewise it is accompanyed with a Feaver V. Another is that we terme Cephalaea or a long continued contumacious pain Infesting and annâ—yingwith the greatest paroxysmes and yet notwithstanding such as are stirred up even by the smallest and most inconsiderable causes the whole brain and head or at least to be sure the greatest part thereof but most especially the Membrains Another called Hemicranio which is a painful distemper of one half part of the head only which ariseth from those parts that are situated beneath it In that that proceedeth from the stomach there is usually perscribed as most profitable for evacuation the Pils of Fernelius formed of the best Aloes half an ounce the powder of the Electuary of precious stones or de Gemmis of the three saunders called in the shopps Diatrion santalon and red Roses of each of these six Grains and so made up to the number of thirty with the Syrup of Wormwood and violets and then two or three of them are to bâ—â—vallowed down the tenth hour before supper Unto the Head there may be applied and laid on an Epithem of the green Root of the Wild Cucumber boyled together with Vervein and Wormwood of Pontus in Oyl and water Chap. 2. Touching the Sympâ—tomes of the Common sense Article I. Of over great and extraordinary watchings THose Symptomes that infest and invade the common sense are watchings and a drowsie and sleepy distemper called Cona Watchings preternatural are the exercise 〈…〉 sense and the external likewise beyond a due and fit measure arising from the continual uninterrupted influx of the spirits into the Organs There is no need at al of SIGNS For the relation of the sick wil suffice The CAUSE is expressed in the definition But the Spirits flow in because they can by no means be brought to rest and sleep and that either in regard of externals to wit objects overmuch light cares Cogitations or thoughtfulness or else by reason of somwhat internal to wit a hot distemper of the brain a pain c. the cure is difficult if the said watchings happen unto those that are young and not at al accustomed thereunto if they bring on the party a doting or a Convulsion or a cough if they last long if they have their Original from internal causes The Cure consists I. In Removing of the Causes that occasion and produce those watchings II. In Procuring sleep either by cooling Cephalicks outwardly applyed or inwardly given or else by Narcoticks The Fat of the Fish Lucins that is the Pike annoynted upon the Temples the Hypnotick Wine of Mynsichtnus the Soporiferous Compound of Saxony the Liquor of the smal spungy sprigs of Eglanrine pressed out of them after they are come to a maturity Opium corrected with Saffron the magistery of Corals and the spirit of Vitriol a pultise of Poppy seeds with the Oyl of Hen-bane and the breast milk of a woman applied to the pulses and the Pediluvium or Lotion to wash the Feet of Hartmannus c. al these are excellent for the purpose aforesaid The Difference is taken from the Causes Some of them are from External Causes to wit 1. The passions and affections of the minde Fear Grief Cares Custome and then these things are to be removed 〈◊〉 because they are wont to occasion the distemper of the head we ought to withstand and prevent the increase and growth of the Humors 2. They proceed from the objects of the external senses which are to be rejected The annoynting of the Nostrils with Oyl of Nenuphar or the water Lily and the eating of Lettice is here in this case much commended Others there are from Internal causes to wit 1. From a hot and dry distemper either without a Feaver which disturbs and drives to and fro the spirits and dissipates the vapors The cure of this may be sought out in its own proper place 2. From hot Vapors that are sharp salt which distâ—rb and trouble the spirits by their pricking and twinging the Membranes of the brain These either they are elevated by some Apostem of the Head and that either from the whol Head or from some certain parts thereof and this likewise either without a Feaver or with a Feaver The Signs and the Cure ought to be sought for out of their own Chapters Those Medicaments that qualifie sweetly allay and temper the Vapors are to be exhibited after supper 3. From the defect of Vapors that might cause rest and quiet unto the spirits in regard either that they are not al generated as it happeneth after an overlong abstinence from food and by reason of crudities in the stomach and then in this case in the Cure a special regard is to be had unto the Diet or else it is because that these Vapors so soon as they are generated they are forthwith dissipated and scattered like as it chanceth in an hot distemper and then a regard also is to be had unto the same 4. From Pain in which when once the common sense is together affected it being vehemently and violently moved al the other senses moved and disturbed together with it And hitherto apperteyneth a Cough the flux and extraordinary loosness of the Belly c. which deprive a Man of his sleep Article II. Of the sleepy and drowsie Coma or Cataphora The somnolent or sleepy Coma is a deep and profound kind of drowsiness arising from hence to wit that the Sensus Communis or Common sense is become so dul sluggish and stupid that it permits not the Animal spirits to be diffused unto the external senses neither doth it know or is able to Judg of those objects that it receiveth from them The SIGNS are taken from this to wit that the sick party sleepeth for the most part with his lower Jaw-bone hanging down and with his Mouth gaping and wide open when he is rouzed and stird up he openeth his Eyes and answereth but immediatly again falleth asleep And so it is distinguished from the sad distemper Carus from the the Apoplexy and the suffocation
in this case Venesection is not reputed to have any place at al. Another there is from internals to wit either an hereditary constitution which indeed ought not over hastily and rashly to be tampered withal or else from either a cold and dry or a hot and dry constitution and disposition of the Liver and spleen in the which upon the cessation of the burning Cause the heat likewise ceaseth to be and the thicker parts that are cold and dry are left to remain behind And then either it is with blood from whence proceeds a doting with laughter or else with flegm from whence happeneth a dul sloathfulness and oblivion or with yellow choller from whence procedeth anger c. In the Cure a regard is likwise to be had unto the nature quality and condition of the Causes III. Another is of the Heart when the vital spirits that are bred by reason of a cold and dry distemper are cold dry and of an impure nature The Cure differeth nothing from the former IIII. Another is Hypocondriacal when a melancholly humor that is sometimes cold and serous or wheyish or else oftentimes that which is adust and burnt in the branches of the Porta vein is gathered together in the hypochondria and so from time to time by those black melancholly vapours that are continually sent forth poluteth and defileth the Animal Spirits in the Brain It is known by this that it seizeth the party by intervals and at some certain seasons and most commonly in its access and approach it surpriseth the party suddenly and without any notice given but sometimes again and that likwise very frequently it first of al couseth ructures windy belchings together with a pain diffending and streatching forth the stomach and then by and by it introduceth great anxiety of mind difficulty of breathing the palpitation of the heart the immovableness of the tongue and at length a mist and darkness before the Eyes a tingling and as it were ringing noise in the Ears and lastly a stupidity and benummedness in either or both of the Arms. It ariseth from a feculent and dreggy Vapor that being collected and gotten together in the Hypochondria from a Melancholy humor flowing from the Antipraxy as we so term it or renitency of the Spleen Liver and Stomach and then tending upwards toward the superior parts and forcibly rushing in upon the members it produceth and brings in the aforesaid Symptomes and being transmitted and sent into the brain either by the Orifice of the stomach or else by the branches of the Vena Cava or hollow vein it there cloudeth and darkeneth the spirits For the Cure hereof see more in the Hypochondriacal affection V. Another is that we cal Vterine from the Womb which is easily Discovered by this that the sick complain of a pain in their left side and a manifest pulse and beating in the back parts neer about the Diaphragm It ariseth also from a Vapor proceeding either from the suppression of the Courses or else from some putridness in the seed For the Cure see in its proper place VI. Another is that we term Erotick as proceeding from love which is either contracted from Philtres or Love potions and then there must be given 1. Vomitories of the Root of Asarum together with Bezoarticks Aqua Benedicta Rulandi 2. Sudorificks as for instance Treacle water Diaphoriticum in acute distempers the Appropriate remedy is the Secundine powder touching which see more in Hartman Or else from a Venereal lustful appetite an over great abundance of the seed then in this case we are to deal with those things that allay and qualifie the Veneral heat and extinguish or at least diminish the seed See more of this Nature in Ferrandus in his peculiar tract VI. Another is that we cal Errabunda which most an end useth to infest the Patient in the Month of February In this case the sick persons abound are even overspread with Ulcers in their thighs neither can they possibly for an hour together take their rest in any one place Article V. Of madness Madness is a continual motion of the mind with an unwonted boldness and Fierceness yet without a feaver arising from a fiery heat of the Spirits The part affected is the Brain the memory for the most part being stil preserved and kept intire and the Heart which is as it were collected and straightened by the over vehement passions and affections and a dayly and perpetual enduring of the winters cold the heart too copiously diffusing the natural heat The SIGNES are Fierceness and so it is distinguished from melancholy the want of a Symptomatically feaver in regard that there is here no putrefaction and by this it is distinguished from a Phrensie Unto the signs aforesaid there are likewise often-times added extream and over watchings for want of rest and divers other signes that are likewise common to a deliry or dotage The CAUSE is the exceeding great and boyling heat of the Spirits unto the which it is apparent that of necessity there ought to be conjoyned an occult secret and more potent cause from the enormity and long continuance of the symptoms But now from whence this extraordinary heat hath its original shal be discovered when we come to speak of the differences The CURE is difficult because that the affect is of a long continuance as wel by reason of the cause which is most pertinacious and hath in it as it were the nature and quality of Leven as also in regard of the sick persons who wil by no means yeild obedience unto what is enjoyned But there is good hope of a cure if the courses and hemorroides flow forth if the Belly be loose and solluble if the symptoms be gentle and moderate if there be a plentiful flux of the blood out of the nostrils out of the greater crooked and wreathed veins of the hips thighs c. the Practitioners term them varices and out of the womb if there sweats present and lastly if the distemper be turned into a kind of silent decipience or as we say playing the simple one It is to be performed 1. by an opposite diet in which the Patient must carefully avoid the drinking of wine but by al means sleep is to be procured and the sick calmed and delighted with musick 2. By the removal of their causes that induce and generate the excessive heat of which we shal speak further in the differences 3 by a mitigation of the symptoms and more especially the extream and over long watchings The differences are taken from the Causes that introduce excessive heat into the spirits I. One is from Causes external as for instance the extraordinary heat of the dog-days vehement and exorbitant wrathfulness drinking of hot and strong wines Night-shade the brains of a cat and of a weasel wine turned by lightening Philters or love potions the eating of dogs and wolves the curing of fistulaes and old ulcers al which may be
Pils so much used by Solanander and Mathiolus 4. by exciting and provoking of sweats with the Hidrotick of Quercetan and the sudorifick of St. Ambrose unto which there must be added Guajacum china Treacle Bezoardicum Lunare together with other apropriate remedies al which are to be followed and attended with frictions of the neck or the spina dorsi with onions and the new fresh root of the flowerdeluce 5. by a particular evacuation of the brain by errhines Apophlegmatisms c. 6. by the application of Topical remedies where have their place frictions rubbings and chaifings with the water leaves infused in Malmesey Bathes with formicetes Rubifications or rubbing the part til it become red with green Nettels and other suchlike inunctions with the unguent of vipers the unguent likewise of the several sorts of pepper the Unguent of Castor the grease of the wild Cat mans fat c. Natural or Artificial hot baths touching which se further in Heurnius his method 7. by a diet that is hot and dry concerning which consult the Practitioners in Physick Another is from the straightness or narrowness of the Nerves which is caused 1. By an obstruction proceeding from a pituitous flegmy humor and other things that are subservient hereunto and conducing unto the purpose aforesaid Then the cure hath regard unto the Cause touching which we have spoken sufficiently above 2. a Constipation from some tumor or swelling that hath its first rise in the substance of the spinal marrow or of some nerve 3. Compression and that either from some external cause or else from a Tumor c. III. Another is from those Causes that dissolve or make a solution of unity in the nerves in the number of which there is 1. a Contusion fal or blow And then a vein is to be opened lest there should happen an afflux unto the contused or bruised part Astringents together with discussives are likewise to be applied and layed upon the part affected unless haply there be present an inflamation 2. a dissection and for this there is no remedy at al to be had 3. a relaxation or loosening of the vertebrae of the Back suddenly caused of the which sufficient hath been spoken in the second Book Another is from things narcotick as for examples a touching of the sea fish Torpido quick-silver and the immoderate unseasonable drinking of wine which rendereth the spirits extreamly stupid and dul and here in the cure whereof there ought to be a special regard had unto the nature and quallity of the Cause IIII. Another is Colical when a humor from the intestines is moved not so much unto the begining of the orifice or first enterance of the nerves as unto the very muscles and tendons The Cause hereof is a thin humor that is both chollerick and wheyish In the Cure we must deal cheifly and principaly by clisters that so the perverse motion of nature may be inverted A vein is to be opened if there be present a Plethory and orver great abundance of pure and good blood We ought then to purge with gentle purgers as we terme it by an Epicrasis or an often reiterated evacuation and drawing forth of the peccaut matter leisurely and by degrees some now some then and not al at once Let sudorificks then follow administred in primrose water and the water of Lilleyes of the vally The spirit of Niter is also of excellent use in this case Another is that which we terme Scorbutick touching which see more in the Scurvy Another is that we cal Hysterical of which also we may see more in its own proper place Article VI. Of a spasm or convulsion A Spasm is an involuntary perpetual and painful Retraction or drawing back of the Muscles towards the place of their original and first beginning arising from the abbreviation and shortening of the nervous or sinewy parts which is evermore attended and followed with a Rigor or Extream stifness and a depravation of the figure shape and symmetry of the foresaid parts The part affected is a Muscle and especially a Tendon The SIGNES are apparent of themselves the Muscles are in such manner drawn back that the parties are altogether immovable toward and unto the contrary The CAUSE is either a certain matter pulling and twinging the expulsive facculty of the parts or else some disease voilently stretching out the nervous parts and this sticketh fast either in the beginning and sourse of the nerves to wit the Brain or in the Spinal marrow of else in some one peculiar nerve There is hardly any CURE to be had or hoped for if it be from hellebore if it arise and appear after a Phrensy if it proceed from a wound especially in the brain by reason of a filthy stinking and corrupt matter pulling and twinging the nerves The Cure is very difficult although not altogether without hopes if those parts that are situate neer unto the brain be affected and suffer if it happen primarily by the consent of some nerve in regard that then the sick person cannot possibly hold out and endure by reason of the vehemency of the Symptoms if it arise from an abundant flux of blood if it follow upon the monthly Courses in women if it attend and follow upon feavers or if it chance to be accompanyed with vehement and accute pains about the bowels or intrals It is more easie if those parts only are surprized and siezed upon that are more remote from the brain and consequently the less noble and considerable if it be by the consent of the Brain unless the affect that the brain lyeth and laboureth under be pertinatious obstinate and unyielding The Cure ought therefore to be Instituted according to the Nature and disposition of the Causes of which more fully in the Differences The Differences of a Spasm are very many and Various I. One is Vniversal which affecteth the whol body The Cause whereof either It is in the Brain and then together with the body the Muscles likewise of the Face are also drawn and pulled together and suffer a Convulsion or else it is in the Original and beginning of the Spinal Marrow from whence it happeneth that the Muscles that move the Head and the spinal Marrow are retracted and drawn back And then either the body with the Neck and Head is drawn to the inner parts from whence ariseth that we term Emprosthotonos or else the twelve Mulcles that extend the Head being affected the aforesaid parts are drawn backward from whence is that we cal Opisthotonos or otherwise the Muscles and Nerves as wel the anterior as the posterior being al of them affected the whol body remayneth altogether inflexible and unmoveable from whence ariseth that we cal Tetanos with the which whosoever are affected either they die within four daies or else if they pass and out-live these they then escape and recover Another is Particular of the Eye Mouth c. Of which we shal see further in the proper place
of the incision knife For the Differences see further in Aeginâ—la II. The Dilatation of the Pupilla called Mydriasis and Platucoria is when the Pupilla is inlarged above and besides the ordinary course of nature toward the it is or particoloured circie of the eye It is known by this that the sick persons either by reason of too much of the External light breaking in upon the eyes or else in regard that because of the falling of the Sun beames in an oblique manner upon them these oblique wayes being weaker than those that are perpendicular they are not able to see and discerne so clearly and acutly when they would look upon any object they then a little close their eyes and the one of them being shut the pupilla of the other cannot be dilated It ariseth from the Extension and stretching out of the Vvea of which this said Pupilla is the hole or inlet either by reason of external or else internal causes For the Cure hereof it must be sought for in the differences It is divided in a threefould manner I. One is native and such as is contracted from the very birth Another Adventitious and happening accidentally II. Another is from external Causes as a blow or a fal from on high c. whichâ—â—â— it be altogether without any inflamation is easily and soon cured but not so if it be accompanied with a rupture of the Vvea Another from Causes internal which are particularly expressed in the following difference III. Another is from siccity or drynes extending the Vvea like as we see in skins or hides that are perforated and this is not to be cured without some difficulty The best remedy in this case is Goats milk if the eye be wel washed therewith and as it were drenched therein Another from humidity the cure whereof is so much the more easie if it chance not after an extream and Vehement pain of the Head It is performed universal and general Remedies being first premized by the drawing forth of blood out of the Temple Veins and the Veins in the corners of the Eyes and by the applying of Cupping-Glasses in the hinder part of the Head and Leeches behind the Eares and likewise by the Use of Resolving Medicaments among which salted Water is much commended that have in them but little of astriction Another from blasts blowings which happeneth unto Trumpeters these flaculencies or windinesses are to be discussed scattered as aforesaid in affects of the like Nature III. The straightness or narrowness of the Pupilla which they term Myosis is when it is rendered and made narrower than naturally it ought to be It is known by this that al objects whatsoever that the sick persons look upon seem bigger than indeed they are that the visible species being conveied in through a straight and narrow inlet may be and are dilated in that broader space neer unto the Crystaline humor It ariseth from the contraction of the Vvea It is Cured according to the Nature and quality of the differences It is Divided according to the diversity of the Causes One is from overmuch humidity contracting the Vvea from the Circumference towards the Center For the which those Medicaments that are exsiccating and drying such are Rew and Selandine are a very fit and propper Remedy Another is from a defect of the watery humor and then the Patient wil see and discerne better in the room that is obscure and dark because that the visible species are more aptly and speedily Conveyed unto the Crystaline humor In this case an aliment and supply is to be attracted and drawn unto the part by applying of milk and sweet water unto the head Another is from a more scant and spare afflux of the visive spirits unto the said Pupilla Article II. Of a Suffusion A Suffusion otherwise termed Hypochyma is an obstruction of the Pupilla bindering the sight and caused by a humor consisting in the eye and residing in that part thereof The SIGNS are divers according to the quality and Condition of the rise and original of the augmentation and of the perfection or Period thereof and they shal severally and apart be explained in the differences The CAUSE is a humor either sincere and single or else mingled whether it be there collected or transmitted thiâ—her by the veines of the tunicles the Vvea tunicle or the Nerves It is collected most especially in those eyes that are great and sticking out we term them Goggle eyes in regard that the visive virtue when it is diffused in a wide space is the more infirm and weak and the laxity of the waies or passages affordeth a very facile and easie entrance The CURE is difficult if it chiefly happen from a feave or some extraordinary vehement pain of the head if it chance unto yong childeren or old aged people and none at al if the suffusion be black if the sick person discern not the light It is wrought if at al I. By the drawing forth of the obstructing matter by purging Phlegmagogues and especially hiera and the electuary that they cal diacarthamus but before these we may premise and administer preparatives II. By revulsion of the same matter by Cupping-Glasses Vesicatories c. III By a discussion of the said matter by Topicks mingled with Emollints or mollifiers and the clearing and cleansing of the eyes And here for this purpose there is commended the water called aqua Joelis the remmedy of Bovius formed of the gal of a Cock half an ounce the blood of a mouce three drams and a half and so made up like unto a Colliry with the breast-milke of a woman or else water of mans dung known by the name of aqua stercoris humani Elambicata with the gal of a Weasel and likewise of a hare saccharo caudi rosato and margarites prepared IV. By Chirurgical operation of which we are for further satisfaction in this point to consult those Authors that have treated at large uppon this subject The Differences of a Suffusion are Various I. In regard of its Situation 1. One is in the Center of the Pupilla which Representeth the Objects as though they came and passed through the Windows and this ought not by any means to be attempted by the needles point lest that the whol Pupilla be filled with the peccant Humor flowing thereunto 2. Another resideth between the Vvea and the Cornea Tunicle and then the Pupilla is evidently seen to be extreamly obscured and darkned and the Pupilla is of necessity dilated by Reason of the Humor that distendeth it 3. Another resideth betwixt the Vvea and the Crystalline humor and then the opposite unto the former do manifestly appear 4 Another is seated in a deeper place and then the Pupilla is very narrow and much streightned Another is situate in a place less profound and deep and then the said Pupilla is larger and wider II. They differ in regard of the degrees for One
Arteria They infest wanton lustful Women from the dryness of their Womb by Reason of the common Tunicle and they produce Clefts without any heat at al or itching or much hardness neither are they very deep or frequent In the Cure regard must be had unto the parts transmitting In al of them the Lip is to be turned inward and then the mastication or chewing of Mastick being premised it is to be moistened with the Tongue II. Touching the Vlcers of the Lips these things are wel to be noted I. That al of them do proceed from Humors that are sharp Cholerick and Serous or Wheyish either from adustion and putridness or else from their admixture II. That somtimes they are covered over with a cruftiness and somtimes running III. That somtimes they are Critically thrust forth in Malignant and likewise in other Feavers and these are easily Cured of themselves and they design the end of the Feaver if they be together with the Natural strength and Vigor much impayred they then threaten death and somtimes they are thrust forth Symptomatically and that either by Reason of a Contusion of the Lip or by reason of Poysons or by Reason of Humors as in the French Pox. In the Cure Medicaments are most fitly and best of al administred about the time of the Patients sleeping Al sharp meats ought carefully to be avoyded III. The Trembling of the Lips proceedeth either from External Causes to wit 1. Cold with a gracing of the Teeth 2. Wrath or Fear the spirits being thereby either dissipated or made to retire into the more inward parts Or else from an Internal Cause as from the weakenning of the Nerves in some extraordinary great affect of the brain in the Nauseousness of the Stomach and propension to vomit from a sharp Humor pulling and twinging or else from the agitation and disturbance of the Stomach by the consent and agreement of the Membrains thereof in case of Worms The Cure must be ordered according to the Causes IV. The Perversion of the Lips proceedeth from the affect of the Nerves of the third pair there being then a Convulsion of the Muscles and this either of it self from dryness or else from the Event or when the neer allyed and conjoyned Muscles that together and at once lift up or press down some one of the Members are drawn together and suffer a Convulsion or else when the Muscles Antagonistae are resolved It is deadly the strength and powers of the body being extreamly weakned in Continual Feavers and when there is a peculiar defect of the Organs It is voyd of al danger if the powers of the body be strong and vigorous the actions thereof constant and Uniform and when the Metastasis as they tearm it or transferring of the Critical Matter unto the Head be accomplished Title IX Of the Diseases and Symptomes of the Face Chap. 1. Of the Opening of the Mouth Gaping and Yawning THere belong unto the Affects of the Face the opening of the Mouth Gaping Yawning the Writhing thereof and that we cal the Ptyalism or frequent spitting I. The Opening of the Mouth is when that bone that by Nature ought to have been shut is yet not shut This cometh to pass I. When the lower Jaw-bone Joyneth and groweth unto the Head which very rarely happeneth II. When tumors arise neer about the Conjuncture of the Jaw bones in the inflamations of the Jaws and the Tensils III. When the Roof of the Mouth in the which the Cheek is turned and moved waxeth stiff and the Mouth becometh so close shut together that even in windy ructures or belchings it cannot be widened and enlarged there being gotten in and deeply inserted into that Juncture and the bonds thereof a most filthy and nasty humor IV. When the Neck is distended by Reason of a wound in the Nerves because that then the Jaws wax stiff like unto the bones II. The Gaping of the Mouth is then when the Mâ—â—th that by Nature one Lip falling doâ—â— and resting upon the other ought to have been shut Gapeth If ariseth 1. From an il Custom 2. From the Relaxation of the Nether Jaw-bone 3. From the Obstruction of the Nostrils that so more store of Air may be attracted 4. From the ascending up of extream hot Vapors in Feavers and then if there be pains of the Jaws without any swelling that albeit they be but smal yet seem as though they would suffocate and strangle the party then the mindes disturbance and alienation is portended and threatened 5. From the Hurting of the Memory in the Lethargy III. Oscitation or Yawning is a vehement distention of the Mouth by Halituous and windy Vapors gathered together in the spaces of the Muscles of the nether Jaw-bone and of the Cheeks and Exstimulating or provoking the Excretive faculty to do its office by Excretion Touching the Signs we need take no great pains to find them out but indeed in regard that the Passage of the Ear at that time doth not sufficiently admit of and give a meet entrance unto the Air and likewise that the Auditory Nerve is compressed it hath therefore Joyned with it an hardness or thickness of hearing The Cause is expressed in the Definition The Cure is scarcely to be Hoped for or expected if it happen in Child-bearing It is somwhat Doubtful if it Relax and loosen the lower Jaw-bone But otherwise if it happen without a more frequent occasion if the matter being widened the Air be abundantly and greedily drawn in and then instantly excluded and thrust forth again with a loud noise it presageth Diseases and it is in very deed the Preludium of Feavers by Reason of the ascent of Vapors from the matter collected together in the lower parts and there puttefying It is to be effected and wrought I. By excluding the matter that fomenteth and supplieth the Vapors II. By the Discussion or Revulsion of the Vapors themselves Chap. 2. Of the Writhing of the Mouth THe Writhing of the Mouth is a distention thereof proceeding from this to wit when either the Muscles of the Face or the Nerves of the third and fifth Conjugation or those that descend from the first and principal Vertebrae of the Neck The SIGNS are that one of the Eyes can never be rightly shut and that the Patient being bid to spit forth doth it on the one side only and if there were no other signes yet this there wil be that the Party being commanded to laugh or to pronounce the letter O can by no means stir or move one side of the Mouth The CAUSE is expressed in the defini-nition The CURE is so much the easier if this unseemly affect hath no consent or agreement with any other part of the body But more difficult if it be lengthened out and protracted beyond the sixth month How the cure is to be performed shal be further shown in the differences Now it is divided in a two-fould manner according to the nature and condition of the
the Crown of the Head a Powder compounded of Long Pepper one scruple the Juyce of Acacia and Tormentil Roots of each two scruples so blown in after the use of an Astringent Gargarism II. The Inflamation of the Wesand is the rising or swelling of the same from a Cholerick Blood fallen down into it with a redness burning heat pain danger of suffocation and somtimes also with a Feaver The business is here alike as in other Inflamations Title XV. Of the Affects of the Tonsils THe Principal Affects of the Tonsils are an Inflamation and an Vlcer I. The Inflamation of the Tonsils is a rising or swelling up of them produced by the afflux of Humors It is known within under the Jaw-bone by the touch and by the sight thereof where like unto a smal Gobbet sticking in the Jaws it presseth by its weightiness and hindereth so that neither Meat nor drink nor spittle can easily pass through either up or down There are also present pain a burning heat redness and a thirst and it falleth more easily into the Tonsils than the Wesand by reason of the sostness and loosness of its proper Temperament and likewise its place It ariseth Externally in little Children by Reason of their Voracity and insatiable feeding the Greeks cal it Addephagia unto which there is likewise added a weak and tender Constitution of Body in Children that Suck by Reason of some fault and pravity in the Milk in Girls from an insufficient Purgation of the Menstrua or Monthly Courses in those of Riper Age by Reason of their overmuch drinking of that wine that is not first diluted and weakened as also their much and more greedy of al sorts of Meats but more especially those that are sharp and rough Internally from the afflux of humors that are hot and sharp Cured it is after the same manner as are other inflamations yet this notwithstanding is attentively to be heeded that somtimes the Tonsils are made the harder by the over frequent use of Coolers and Repellers II. Touching Vlcers these things come in the next place to be taken notice of I. That there is the less danger in them if they be without a Feaver II. That those of them that appear in the heat of Summer because they then immediatly creep forward are worse than those that arise at other times III. That they may somtimes be and appear without any Inflamation at al either from some Salt distillation eating through those parts or else from some Vapor or Exhalation ascending upwards which happeneth in the Venerial or French disease and somtimes again from other Causes the Spring time and a Pestilential Air. IV. That some of these Ulcers are Familiar and milde which are smal clean not descending very deep neither inflamed nor exciting any pain Others Malignant and Pestilential and these are broad Hollow growing Nasty and filthy by reason of some congealed Humor that is either white or black or Livid black and blew but now if these aforesaid congealed impurities descend deeper then there is bred that which we term an Eschar or Crustiness V. That those of them that Creep about the Jaws with much trouble and annoyance Cause a difficulty of breathing but that if by the Trachaea Artery they Penetrate into the Brest they then strangle the Party the very self same day In the Cure we are to understand that al the Ulcers of the Mouth as wel lest that they Creep and proceed further as also because that they evermore become the moyster by Reason of the Spittle do need and require the stronger sort of Astringent Medicaments And thus much touching the Diseases of the Head THE NINTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Of the Diseases of the middle Venter or Region Title I. Of the Diseases of the Jaws or Angina that is Squinancy ANd thus much shal suffice to have been spoken touching the Diseases and Affects of the Brain There follow now the Diseases of the Middle Region which Contain and Comprehend under them the Affects of the Jaws the Throat the Aspera Arteria or â—ough Artery the Lungs the Chest the Teats and the Heart The Disease of the Jaws is that we cal Angina or the Squinancy but more vulgarly the Quinsey or the shutting up as it were of the Jaws that is of the Supream parts of the Gullet and the throat through which is an entrance and Passage not only for the meat and drink but likewise for the Breath Producing and Bringing along with it a Difficulty both of breathing and Swallowing The Common signs are Difficulty of breathing in regard that the Throat is in a manner stopt and shut up the Impediment or hinderance of the Swallowing as wel in regard that the Gullet is obstructed as that likewise the two Muscles deriving their Original from the Larinx called Oesophagici and Circulatores because they embrace and encompass about the Oesophagus with their transverse Fibres resembling a Semicircle are busied in helping forward the thrusting down of the Meat and Drink unto the inserior parts whilest that they draw up the Larynx in the time of swallowing that so it may give way unto the food whether Meat or Drink as also in regard that the Muscles of the Jaws thrusting down the food unto the Oesophagus while they are Contracted and drawn together unto the place where they begin do here suffer A pain about the Jaws which is either augmented or diminished according to the quality and condition of the Causes and the subjects The Causes are al things whatsoever that are apt to stop the breath as we shal further shew you in the differences So for Cure in the differences In regard of its causes it is divided into three sorts or kinds the first whereof hath comprehended under it four species I. One is from an Inflamation which is knowen by the continual fever accompanying if withal there be together present such other things as usually concur It hath its original from that blood that floweth into those parts from out of the branches of the Jugular veins there going before for the most part a difficult moveing of the neck without any apparant causes and withal a certain pain as likewise an unusual heat about the Jaws It is very hardly cured if there be present a great and Intence feaver the spittle somwhat dry Clammy and thick The Event of the Cure is somewhat doubtful if the matter being transmitted into the Lunges there arise an Empema or impostamation of the Lungs to the Head if it exciteth and causeth a doting or delire if to the Pleara Membrane it causeth a pain of the whol Breast with a cough and difficulty of breathing if unto the heart it then introduceth and brings along with it a kind of trembling and almost undiscernable beating of the pulses There is no hopes at al if the fever prevail the greatest heighth and intensenes if the face of the sick person become greenish if the angles or corners of
and strangling which is somtimes grâ—â—ter and somtimes less It ariseth either from those Causes that Compress or press it down as the Relaxation or Loosening of the Vertebrae Inflamations Swellings the halter c. Or else from those Causes that Obstruct as things external fallen thereinto which are to be removed Or else internal to wit Humors thick and of a slimy and Glutinous Nature which are to be Cut attenuated and cleansed forth with the Syrup of Maiden hair Horehound and Liquerish or by reason of Purulent matter and smal stones Particularly that called Grando bred in the Lungs and a certain kind of flesh that is bred and brought forth after wounds and Ulcers III. Wounds either they touch only the Superficies thereof and then they may be cured or else they touch the Cavity thereof and then the Air passeth forth in such a manner that if a candle be put thereinto it is forthwith extinguished if the Cartilaginous substance be wounded especially after a transverse manner it can hardly ever be brought to unite again if the wound be betwixt the two little rings thereof they are now and then Healed IV. Touching Vlcers take this advertisement to wit that they arise from Humors that are sharp and Salt from Poysons and from Medicaments and that they afflict with pain spitting of Blood pure in the beginning but afterwards purulent insomuch that even scales and a kind of Crustiness may now and then be cast forth If they seize upon and possess the Internal Cavity they are then by reason of the Nature and Situation of the Parts very hard to be Cured and lastly that if the Cartilages be eaten through and that there happen thereupon any putrefying affect it is then altogether incurable Title IV. Of the Diseases of the Lungs Chap. 1. Of the Distemper of the Lungs THe Diseases of the Lungs are Intemperies Peripneumonia Angustia or streighness a Wound Phthisis or an Vlcer The Distemper of the Lungs is the declining thereof from its natural temper unto that which is preternatural as wel by reason of External as Internal Causes The SIGNS shal be expressed in the Differences The CAUSES are either External and these likewise various to wit cold or hot potions medicaments applied the Air that being little or nothing altered is carried and conveyed unto the Lungs in such as are destitute of the columella or else they are internal to wit the Humors that are drawn along thither either from the Head or else from some other parts but frequently from the Liver The CURE is to be ordered according to the several Causes where in regard of the humors take notice 1. That in respect of the situation of the part it is not to be removed without much difficulty yet notwithstanding that it ought to be evacuated 2. That if there be there a greater store than ordinary of flegm it is then more fitly to be removed with those Remedies that expectorate and mollifie such as are Eryngo Roots and marshmallow roots common mallows and Raysins than by those medicaments that cut 3. That many hot remedies are not here convenient lest that the thinner parts being wasted the thicker remain behinde The best remedy in this case is Linseed 4. That if there be present an acute feaver together with the matter we ought then to abstain from those medicaments we cal Eclegmata for these by their dryness and clamminess do much if not wholly supress expectoration from whence there followeth a more frequent respiration or thicker fetching of the breath and the matter also by the extraordinary heat becometh the more contumationus and obstinate The Distemper of the lungs is divided after a twofold manner I. One is without matter which indeed hath in it no danger at al of suffocation and is also more easily cured Another with matter which is to be Evacuatted and drawn back like as we shewn above II. One is hot which is known by this that the Cheeks by reason of the sumes ascending become red and that there is evermore a dryness of the tongue together with a thirst which can no way be qualified but by the breathing and drawing in of the cold Air infesting the sick person and likewise that the breathing is more than usually frequent and swift In the Cure Cooling medicaments which through the rough artery are thither to be conveyed ought to be administred where note 1. That those medicaments that are mainly cooling and repelling are altogether enemies and offensive to the Breast by intercepting the passages of the blood and spirit and by their weakening and impayring the very nature of the Breast since that it is Cartilaginous and bony 2. That among the principal internal Remedies we are to account both the white and black Poppy Rheas Violets Endive Barly Water-Lilies and their syrups 3. That the diet ought to be conformable and that for a drink and potion the water of barly with the Syrup of Violets is excellent good III. Another is Cold which is known by this that Cooling Causes went before that the Breathing is but weak slow rare and the Pulse like thereunto and that the Breath that cometh forth is colder then ordinary In the Cure we are to Use medicaments that heat among which these are to be accounted of as very fit and proper to wit saffron which is as it were the very life and soul of the Lungs the Extract of calamus Aromaticus old treacle Coltsfoot Nicotiana or tobako scabious the root of the Flower-de-luce and the root of Aron or Cuckowpint prepared Elixir proprietatis that Mixture they term Simplex oxymel Scillitick c. IV. One is Moist which is known by this that the voice is hoarse the breathing thick and frequent with a kind of wheezing snorting and much spittle In the Curing hereof we ought carefully to avoid those medicaments that are overdrying and astringent The Chymical oyl of sulpher and the flowers of sulphur or brimstone the shops cal this latter flores sulphuris in a rere egge that may be supped up the wine wherein the eyes of crabs or cre-fishes have been mucerated sassafras China root c. are here of singular use and benefit V. Another is dry which is known by this that persons thus affected wast and consume away without any Ulcer at al that the breathing is very little and weak but thick and short that there is present a continual christiness and but smal store of spittle In the Cure hereof Raysons of the sun womens breastmilk and Asses milk the destilled water of Tortoises the broth of veal and the conserve of violets are especially good and profitable Externally a Bath of sweet water ought to be Prescâ—â—bed Chap. 2. Of Peripneumonia PEripneumonia is an inflamation of the Lungs from blood poured forth into the substance thereof with a straightness of the Breast a difficulty of breathing an acute Feaver and a cough The SIGNS are the narrowness of the Breast with a dul and heavy pain that
extendeth it self and reacheth even unto the spina or Backbone where the membrains that touch upon the Pleura are fastened and upheld and this pain is more remiss and moderate unless the membrain be together inflamed but if it be then the pain withal becometh extreamly pricking There is likewise a difficulty of Breathing and indeed greater than that in a Pleurisie so as that the sick person is with extream hazard and peril of suffocation enforced in a strait upright posture to draw his breath the brest or Thorax in that kind of situation being the more easily dilated forasmuch as in those that ly along in their beds it falleth down because that the parts of the Thorax or breast decline and rest themselves upon the spina or backbone which being erected the Thorax is likewise together born out and so is no longer heavy and burthensom unto it self The aforesaid Respiration is sublime so that in it the very top of the Thorax is moved even unto the very covering of the shoulder-blades it is also frequent and often in the begining and likewise it is greater than ordinary which in a short time by reason of the weakness and decay of the natural vigour and the instruments of breathing is chainged into that which is far less and is increased by the frequency thereof The Breathing is hot and because that by the expulsion of the sooty and misty vapours the Heart is lightened they are therefore the more eased and lightened the more they breath forth the aforesaid offensive and oppressing sumes The sharpness of it in a feaver is greater than in the pleurisie in regard of the neer neighborhood of the heart and hereupon there exhale hot vapours unto the Head which hurrying the blood along together with them make an impression upon the cheeks where the skin is but thin and so cause the face â—o become red the eyes and the Temple veins swel the cough is very troublesom by reason of the affect of the Lungs It is conjoined and accompanyed with spitle that is tenâ— forth at first with a kind of thinner putrefied and rotten matter and by and by dyed with blood and likewise otherwhile otherwise colorea and somtimes it is spit forth ful of froth The CAUSE is blood which is poured forth of the right angle or comor of the Heart into that vein that we cal Arteriosa and so filleth not only the veins and Arteries of the lungs but likewise also the whol body It is raysed and stirred up from external causes as a cold Air and especially the cold northern Air immediatly following upon the southerly the drinking of generous and strong wines a violent and more vehement motion after long rest and quietness and this upon a ful stomach the body being likewise ful and wanting Evacuation Anger and other the passions of the mind c. There is some hopes of a CURE if the Spitle being of a mingled red and yellowish color give out and intimate any sign of concoction in the Lungs affected and if the impostumations be thrust forth either unto the Ears or unto the inferior seats of the Thorax and so they either pass and turn into a fistula and so may be evacuated or else they are derived unto the Thighs It is somthing doubtful if there be want of spittle by reason of the contumacy or unpliablness of the matter and the imbicility of the natural powers if there issue forth and appear with much and thick urine those sweats that at first did arise about the neck and the head because those aforesaid sweats are thought to preceed from a forcible constraint suffocation and violence As for al other things in the cure if foloweth the method of other inflamations If it succeed any otherdisease and the blood be already evacuated then Cupping-Glasses with scarification ought to be applyed unto the Arms and the Thorax or Chest let the Expectorations be of the stronger sort and so likewise the Topical Remedyes The difference is taken from the subject and the causes I. One is of the whole lungs which if together with the heart it be inflamed to that it proceed exceed it self unto the side it then produceth in the sick person a resolution or palsie For the blood flowing abundantly into the great Artery so that the intercostal Arteries are thereby filled and so that also those little branches that penetrate throw the holes of the vertebra of the Thorax into the spinal marrow do swel the Nerves there passing sorth from the spinal are compressed and being thus pressed together they cause a resolution and Palsy Another there is of the one side or other of the Luâ—gs and not in the whole and then there is a pain and heaviness self sensibly and perceived in the one or the other part thereof if the upper wing be disaffected and suffer then the Affect extendeth it self even to the Channel bones of the throat but if the lower then it reacheth unto the diaphragm The vein on that side wherein the inflamation is ought to be opened II. One is from pure blood from whence there ariseth a Phlegmone It is known by this that there is produced a bloody spittle unless haply the disease be extremely Crude a streightness of the pracoerdia and of the whol Breast oppresseth the party an extraordinary great intence heaviness contracteth the stern to wit that part of the Breast where the ribbs meet and the Back the Patient is not much afflicted with any acute Fever But now that blood sometimes in the Angina or quinsy breaketh forth violently out of the Jaws and then they die within seven daies if they escape these then they become purulent And because that in those that are in the midst betwixt old age and the vigorous flourishing estate of those of ful and perfect growth the expulsive faculty is more Languid and weak than in yonger persons they are therefore not to be cured but with much difficultty Sometimes it is derived thither from the Pleurisy and yet not by the vessells because that there is no convayence for them but by the membrane that investeth al the parts of the Thorax and then in this case likewise in regard there is a translation of the matter from the outward parts unto the inward that is to say from the less noble unto the more noble parts and such as are nigher unto the Heart the Malady is therefore the more dangerous Another from Chollerick blood from whence it is that the Quinsey is frequently turned into the Peripneumonia and the Luugs being of a spungy substance doth easily admit of a Cholerick and the thinner sort of matter and drink eth it in more deep than other It is known by this that the cough rayseth a yellow spittle and that that is not mingled with much blood the streightness of the Chest and the sence of weight and the veins is less than in the former differences and lastly it is known by this that the
Clammy and Flegmatick whether generated out of the meats or flowing thither from some other part The Cure ought to be fetcht from the Chapter of distemper 3. by a defect and weakness of attraction Either by reason of a cold and moist distemper or by reason of the interception of the passages by the obstruction of the mesaraick and hollow part of the Liver in the Cure of which those parts must be respected 4 By hindrance of Evaporation either when the substance of the body is not emptyed either by reason of the constipation of the pores and thickness of the Skin which a Bath of sweet water wil take away or the weakness of Native heat whether acquired by a cold distemper or idlenss or by reason of the tenacity sixt and firme concretion of the substantifical moisture which doth not easily yeild to the gentle and pleasing heat that feeds upon it There is another from the not perceiving of the sucking which 1. by Diseases of the brain in which either the Nerves of the sixth pair are affected or the Animal spirits are not generated or their influx is hindred or which happens in acute Feavers they do languish or the faculty as in the Phrenitical c. is converted another way The Cure ought to respect those Diseases 2. by Diseases of the Stomach it self whether they be of distemper or of Composition or of solution of unity of which we treated before The appetite is raised by taking away the causes partly by cooling things if a hot Cause did precede partly by heating things if a cold Wormwood Wine is very much commended Article III. Of too great Appetite Too great Appetite is distinguished into two Species viz. A Dog-like Appetite and Bulimus I. A Dog-like Appetite is a continual insatiable desire of Eating arising from a Vehement sense of sucking in the mouth of the stomach afflicting somtimes with vomiting somtimes with a loosness There is no need of SIGNS whereas they are exprest in the definition The CAUSE is a Vehement sense of sucking and pricking in the Orifice of the stomach but whence it comes is explained in the Differences The CURE which is timely to be administred least the sick fal either into a custome of vomiting or into the Caeliacal passion or into a dropsie doth respect 1. The hunger it self which is allayed either with the Use of Fat things or with the Yolks of Egs hardened in Water or what is best with Wine 2. The Causes of which we wil treat in the Differences The Differences are taken from the Causes urging the Suckings I. One is from the too great want of nourishment in the Body or by Reason of worms feeding on the Child which shew themselves by biting and they are cast forth by the use of Hiera Picra or by reason of too great Evacuations both sensible and insensible by the habit of the Body by Reason of too great a heat of the moisture to which conduceth much the tenuity of the Humors and thinness of bodies Laxness of pores c. And then sweats do molest The Cure is to be turned to the Particular Diseases Or by reason of the long use of Detersive Nourishment as Pigs Lobsters c. II. There is another from cold acid and more austere Humors wrinkling the Orifice of the Stomach compressing and pulling it as are acid Flegm and Melancholly poured into the Stomach and then the signs of a cold distemper are present amongst purger Hiera Picra is good as also Zacutus his Wine Lib. Ult. Hist Prax. ca. 2. n. 9. II. Bulimus is a great Appetite Periodical which aftentimes ends in a Nauseousness with Faintings away and loss of strength The Signs are explained in the Definition The Cause is doubted of by Physitians yet most do hold that t is a cold distemper of the Stomach whereupon t is wont often to happen to those that make long Journeys through deep snow There is no Cure if it happen in Chronical Diseases somtimes after Feavers and other Diseases it threatens a relapse It respects 1. The time of the fit when the swouning happens in which we must use frictions and revivers as the smel of Wine Vinegar c. 2. The time out of the fit in which after the sick hath recollected himself meats of good juyces must be ministred bread dipt in Wine c. And by external means the heat must be restored to the Stomach Article IV. Of a Depraved Appetite or Pica Pica which is also Citta and Malacia is so called from the bird Pie which is sick of this disease it is an absurd appetite to a strange substance liquid or solid beside the ature or essence of nourishment from a sad sense of sucking and corrupt judgment not discerning things fit or unfit for eating from a Vitious Excrement imbibed in the coats by a peculiar propriety of substance molesting the mouth of the Stomach The SIGNS are manifest because they desire meats of Vitious qualities there preceded excess indigestion use of meats and drinks of evil qualities a suppression of the Courses c. The CAUSE is a sad sense of sucking Molesting which is Caused by the matter impacted in the Coats of the Stomach either acting by its whol substance or by a manifest quality arising from an evil Course of Diet or sent from some other part as from the womb whereupon t is familiar to Childing Women about the second and third Month but there is wont at the beginning while the Causes do alter to be raised a desire of contrary things but when by long custome there is a familiarity contracted things like are desired The CURE must be haistened left a Cacochymy or Dropsie be caused The peccant matter is most commodiously cast forth by vomit which in Childing Women must be Caused by those which are more gentle The Stomach may be strengthened with water of Cinnamon of Orange Pils magistral of Corals c. Article V. Of too great Thirst Too great thirst or Poludipsia is a greater and oftner desire of accustomary drink by reason of a sad sence of sucking in the Mouth of the stomach arising from the defect of moist nourishment and the alteration of its proper Humidity The SIGNS of the Symptom are manifest of themselves The CAUSE is a sad sense of sucking which the want of moisture and the plenty of heat have raised but whence that proceeds shal be explained in the Differences The CURE doth respect 1. The too urgent Symptom which is mitigated by Crystal or Coral held in the Mouth cold water corrected with a little Vinegar the iuyce of live Crabs with water of violets and Housleek sprinkled with a little Niter a Lohoc compounded of the Mucilage of the Seeds of fleawort and quinces of each half an ounce Sugar Candy of violets pouderd Starch Tragacanth of each one dram Syrup of violets as much as is sufficient With spring Water boyled with Sugar Candy adding a Pome Citron cut in two c. II.
The Causes of which shal be treated in the Differences The Differences are taken from the Causes I. One is from the defect of the dewish substance of the Stomach which is known from the preceding Causes absence of loathing c. it ariseth from those things which can wast moisture as are Labors watchings fastings immoderate Evacuations c. The Cure is to be perfected with meat rather than with drink water which causeth vomiting and a loosness in them is to be shunned the beginning must be taken from moistning which a gentle cooling ought to follow Another from the dissipation of the moisture in the Stomach through heat which is known by the loathing of meat roughness of the Jawes bitter Salt nitrous tast It ariseth 1. Either of it self or from external things the hot Aire sharp Salt meats hot Potions Vehement Motion of the Tongue poysons al which ought to be removed Or from internal Causes as chiefly from an inequal distemper of the Stomach where we must empty and moisten with an Emulsica of the four greater cold Seeds 2. Or from other Diseases viz. A Feaver heat of the Lungs a dropsie c. The Cure of which must be fetcht from their proper places II. There is another without a Feaver which Choler or Salt Flegm do Cause Another with a Feaver in the beginning of whose fit no drink is to be administred lest a greater heat be kindled but the thirst must be deluded by things held in the Mouth in the Vigor we must use moistening and cooling Gargarisms in the declination unless the Patient wil abstain drink may be allowed that sweats may flow more plentifully Article VI. Of the hurt of Concoction or Chylification The hurt of Concoction is a fault of the concocting faculty in its action about the nourishment by which it comes to pass that it either doth not concoct at al or slowly or depravedly It contains therefore three things under it Bradupepsy Apepsy and Dyspepsy I. Bradupepsy is a slow and weak concoction when the meat is left either half crude or is not disgected but in a long time by reason of the frustration of the faculty and weakness of heat chiefly proceeding from a cold distemper The SIGNS are a distention of the stomach by winde after a ful Concoction of the meat the sent of the meats rising to the Palate many hours after sour belchings Flegmatick vomitings stooles moist and crude the Concoction of meats easie to be concocted scarce done in a long time The Adaequate cause is the frustration of the Concocting faculty which either is hindred by some Organical Disease as a Tumor inflations c. Or is weakned by a cold distemper induced by those things which either do cool or suffocate or dissipate or withdraw the nourishment or t is hindred by an external error which either Excrements heaped up in the stomach or sent from some other part do Cause or nourishments not regularly taken in just quantity quality time and order or sleep The CURE unless the griefe proceed from an external error is principally to be directed against a cold distemper for this inwardly are good the tincture of amber magistral of corals Elixir proprietatis Diacorum nobile the fruit of Eglantine condite extract of calamus aromaticus of Juniper berries of Zedoaryâ— spirits of vitriol if crosse humors are presumed to be in the stomach but 't is then worst of al when the heat of the stomach is Languishing for this the blewish or green spirit of wormwood Mynsichtus his elixir of vitriol syrup of Juniper berries conserve of roses vitriolate the phylosophical salt compounded of salt of niter prepared and molten gemmae each two drams of wormwood blessed thistle tamarisk each one dram of galangal cubebs mace each two scruples Birckmannus his pouder of the root of cuckowpint prepared in Quercetans Pharmacopea The distilled oyl of orange pils of wormwood Bartoletus his potable oyl of nutmegs cinamon mastick c. outwardly do best agree Cratoes stomach oyl tacamahac balsome of Peru Hartmans stomach scutum Stokerus cerote of ladanum c. II. Apepsy is the concoction of nourishment in the stomach quite abolisht proceeding from the privation of its alterative faculty by which it comes to pass that it descends crude into the guts The SIGNS of it are the precedent causes belchings after the space of 6. or 7. hours savoring of the nature and quallities of the meats the casting up of them inconcocted or voiding them so by stoole c. The CAUSES are stronger than those which were alledged in a Bradypepsy The CURE also ought to be fetcht from thence the arcanum of tartar is commended if ten grains of it be taken every day in broath III. A dispepsie or diaphthora is a corruption of the meat and a change of it into a strange qualitie by reason of the frustration of the concocting faculty of the stomach The SIGNS of this are nidorous belchings adust acid far stinkings which are often attended with rumblings of the belly murmurs pains bitings vomitings very stinking stooles impatiency of hunger anxiety c. The CAUSE is the distemper of the stomach and that oftentimes hot which burns up corrupts and putrefies the meat but every thing corrupted according to its nature puts on a strange quallity hence it is that things smel so diversly Chiefly the nidorous coruption is the off-spring of heat which ariseth from hot diseases nourishments of the same quality and easily corrupted as milke fishes mushrums fading fruites the sowr corruption proceeds from cold The CURE is to be turned to the distemper the hot one chiefly of which we spake before here the Spirit of sorrel and Quercetans syrupe of corals chalenge the first place Article VII Of the Hickopps The Hickop is a convulsive motion of the stomach consisting of the distension and dilatation of the fibres of its upper part by which the expulsive faculty being irritated doth endeavour to cast forth things hurtful that are fixt in the coats of the stomach especially of the mouth of it and gullet with a noise and vehement contorsion There is no need to reckon up the signs 't is heard by the standers by The CAUSE is matter residing sometimes in the whole stomach but pulling the stomach either by an inimicous quallity or by compressing it There is no Cure if a Dilerium happen with it because it is an argument that either acrid vapors are raised up to the head from the stomach inflamed or that the brain being inflamed the evil is comunicated with the nerves of the orifice of the stomach if it arise in a deepe sleepe in swouning fits or convulsions The cure is doubtful if fainting be feared with it if it befal old people purged above measure if it arise from an inflamation of the liver if it invade after vomiting because it is a signe the stomach or braine suffers no smal inflamation if it happen in sincere vomiting because there is signified some great burning
extinction of the native heat If with it there be other matter which from the corruption in the body hath contracted blackness it being by nature not black it relates to I. The urgent symptome it self which is to be stopped 1. By revellers whether they be strong and sharp Clysters or hot things applyed to the extream parts 2. By things that compress the motion of the expulsive faculty and strengthen the Stomach Inwardly are commended Zacutus his Pills lib. 9. hist prax cap. 1. num 4. Lignum aloes poudered and given with the syrup of the sharp juice of Citrons The crude juice of quinces taken a spooneful laudanum opiate a vomit Outwardly a plaister of treacle Zacutus his cataplasme an epithem of the decoction of wormwood mint made in smiths water The differences are taken chiefly from the causes I. One is from external causes as are meats either taken into great quantity or offensive by their hurtful qualities vomiting medicines then are comended new treacle spirits of wine imoderate drinking and drunkenness vehement motions after meat unaccustomed going to Sea violent coughing the phansie and beholding of things loathsom blows on the body a wound of the skul poyson taken c. Another is from internal causes either diseases or humors of which shal be treated in the following difference II. Another is from diseases infesting the stomach as are Vlcers tumors straitness and smallness the stoppage of the lower orifice which must be considerd in the cure Another is from humors which are either bred there and then there was some fault in the dyet with a continual nauseousness or flow from some other part and then there must be respect had to those parts or they lie in the cavity of the stomach and then they are cast up with a little straining there is a distension and anxiety after meat and vomitings when they have taken no meat or they adhere to the coats and then they vomit not unless upon taking of meat nauseousness is very troublesome These humors are 1. The Chyle which must be suddenly remedied lest an atrophy steale upon us this happens in an ulcer of the Stomach 2. Excrements which are cast upwards in the Iliaca passio as also Glysters 3. Blood which is cast up either by reason of the cutting of some member or after the suppression of some evacuation of blood where it must be dissolved lest it putrefy with oxymel in which a dane-wort root hath been boyled afterwards it must be emptied at last it must be stopped with two ounces of the water of the greater nettle spirit of vitriol as much as is sufficient for a gratful sharpness w th the essence of crocus Martis gelly of Quinces with the old conserve of roses given with gum tragacanth Or by reason of the opening of the vessels where the same means must be used Syrup of purslane with terra sigillata is powerful in astriction 4. Cholor sometimes comes theither if the channel of choler be inserted into the Stomach and then the nature of the humor cast up must be considered vomiting troubles them most when they are fasting 't is somtimes happily stayed by opening the Salvatella if we may credit Zacutus 5. Flegm melancholly matter worms stones c. which are best of all discovered by their proper signs Article X. Of Choler Choler whether it come apotes choles that is from yellow choler from which it most frequently ariseth or apo ton cholodon that is from the gutts is twofold moist and dry I. Moist choler which also is the true is a continuall and imoderate casting off of an evil humor with great perturbation and violence both through the upper and lower parts arising from the violent irritation of the expulsive faculty The signs are often voiding of cholerick humors a great paine in the belly and bowels paine at the heart thirst a pulse smal and frequent to which do oftentimes succeed faintings and coldness in the extreame parts The Cause is a sharp and corrupt matter whether arising from meats bad in themselves as the eggs of the barbel fish mushrums melons cowcumbers plums fat things herbs leeks onions c. or bred elsewhere and sent to the stomach as shal be said in the differences The cure must be bastend by reason of the acuteness of the disease yet there are some in whom this cholerick passion a lask at certain periods doth empty al the superfluities of their bodies It respects 1. The furthering of either of the evacuations if one be too much the other to little 2. Atempring of the humors 3. Astrengthning of the part 4. A restoring of the strength and spirits too which end wine is good if there be no feaver 5. A mitigation of the Symptomes of which in the differences As for the differences There is one when the matter that irritates is conteined in the Stomach which is known by this that there is present nauseousness a straitness knawing and pain of the stomach It ariseth from strong purging medicines Concerning the Cure observe 1. That the flux must not be stopped if the evacuation be plentiful and the strength be not impaired 2. Where the irritation is great and the evacuation smal vomiting must be furthered by gentle vomiters and purging by benigne purgers and laxatives 3. Where the evacuation is great and irritation smal we must use astringents and strengtheners together 4. If vomiting be excessive we must move by stoole if a loosness be too much we must act with vomits composed of whey with syrup of roses 5. Inwardly crocus martis rightly prepared doth stop it best of al. The decoction of Cloves Mastich and Red Roses made in red wine Laudanum opiate the spunge that is wont to grow on sawallows given four grains weight in red wine Outwardly a Sea spunge boy led strongly in vinegar and laid upon the stomach Another is when the matter flows from elsewhere as from the liver pancreas gutts mesentery into the stomach 'T is known by this that for the most part there is present a malignant feaver and convulsins trouble them the matter offending then is Choler like yolks of eggs yellow adust or salt nitrous and corrupt In the Cure 1. The course of the matter flowing thither is not presently to be stopped 2. If it flow too much it must be diverted by medicines either to the skin or to the passages of urine or it must be called to the outward parts by frictions ligatures and the like 3. It must be qualified and the parts strengthened Inwardly Christal is good given half a dram weight Outwardly epithems made of the juice of Endive Purslane with barly flower In course of diet bread dipt in the juice pomegranates is good c. II. Dry choler which also is the bastard is a voiding of a flatulent spirit through the upper and lower parts with a puffing up of the belly with noise and a pain of the loynes sides The SIGNS and immediate cause
Aloes Zedoary the Juyce of Rhadish and cresses Cold hearts horne burnt Purslane Water juyce of Endive Grass Water with a little Vinegar and Sugar Of Internal Compositions the Pouder of Dr. Mencelius my wives Granfather excels 't is compounded of the Flowers of Centory the less tansie St. Johns wort each two drams of the flowers of Wormwood Savine Peaches of each one dram and an half of the Roots of white dittander gentian asarabacca of each one dram of red Corals prepared burnt harts born prepared of each two scruples Seeds of Artichoke Purslane citron cummin Seseli Coleworts Coriander prepared Sorrel of each half a dram Choice Rhubarbe one dram Myrrh Saffron of each half a dram Scammony prepared Trochiskes of Alhandal of each two scruples Salt of Wormwood half a scruple Coralline half an ounce Of which you may give from one scruple to one dram in Cows Milk upon an empty Stomach two hours before meat Outwardly is commended the cerote compounded of Myrrb Saffron Liver colord Aloes of each as much as is sufficient with Rose Vineger and an Oxe Gal and applied both to the Mouth of the Stomach and to the back see more amongst Authors II. By things that drive them forth which are melted butter great quantity of Oyl a Bath of sweet Milk fuming hot if the Worms be yet alive Diaturbith with Rhubarb Ruffus Pils and de Tribus Solutivis if they be dead The Difference is taken from their figure I. Some are smooth or round in which the knawing of the Belly is more vehement a dry cough more frequent the hickops nauseousness loathing of meat faintings of the heart troubled dreams with trembling rising up crying out motion of the Jaws c. Clysters are not convenient for these unless they be dead II. Others are broad in which the Excrements are not unlike to gourd Seeds there is an insatiable desire of meat and a quick casting forth of the Body of that which is taken a greater leanness and wasting of the Body a pain somtimes in the right side somtimes in the left Fearn or its water is good against them Walnuts Treacle with Vinegar or the Juyce of Lemons Concerning the broad worm see Tulpius in his observations III. Others are called Ascarides in which there is a continual pain a most troublesome itching about the Fundament as if it were ful of Aunts with a heaviness in the back continual Motions to stool moth-like worms are every where mixt with the Excrements of the Belly which smel very strong c. Article IV. Of the Rupture of the Guts A Rupture of the Guts is a falling down of the Guts out of their place 'T is called by the Greeks Kele by the Latines otherwise Ramix and Ruptura The SIGNS are a Tumor which somtimes encreaseth somtimes decreaseth according as a greater part of it it fals down or is filled with wind or Excrement there is no pain unless by chance the Excrements be fallen thither The Patient being prest down or laid on his back the guts slide back into the belly and that with a murmur c. The CAUSES are those things which can Relax or break the process derived from the Peritonaeurn as shal be said in the Differences The CURE is not to be neglected both because that thin and Nervous Membrane cannot easily be united and because somtimes the Patient his Guts being inflamed is brought into danger of his life and the Guts inflamed do mortefie It respects 1. The Replacing of the Guts which if they be swelled with wind as the rumbling in the Guts and breaking of wind do declare it must be done by discussives if they swel with Excrements hardned then both with Emollient Clysters and Cataplasmes and Fomentations If with Flegmatick matter it must by little and little be emptyed by Clysters and suppositories and be attenuated by internal incisive means if there availe nothing we must flie to Chirurgery concerning which consult with Authors 2. The retaining of them in their place here are proper Horse Tongue which is most excellent the pouder of Mouse-Eare given with meats Through wax Rupture wort The Ashes of a sucking hare given to drink in red Wine The Seed of Flix weed the plant fern pouderd and given each half a dram The Differences are taken from the Causes and places into which they fal 1. One is from a Rupture of the Peritonaeum which is known by this that a Tumor is suddainly raised and also is quickly increased the Gut fals down to the very bottome It ariseth from violent Causes fals straining to cast forth the Child or the Excrements of the Belly holding of the breath straining of the voice wounds of the Peritonaeum c. In the Cure a Ligature being applied shal be given inwardly one spoonful of the essence of the greater comfrey with two drops of the balsome of Sal Gemmae Outwardly must be applyed Villanovanus his Plaister of a Rams Skin Mynsichtus Armam p. 364. And the same Authors Vnguent against a Rupture p. 352. The fat of a Hedg-Hog concerning which see Hartman If these do no good seek for help from Chirurgery of which see Platerus Another is from the Relaxation of the Peritonaeum which is known by this that the Tumor grows by little and little and the Gut doth not descend to the very bottome It ariseth both from the moisture of the Peritonaeum whence Children often fal into a rupture and from those things which break it if by degrees and often they assaile the Peritonaeum though not so violently II. There is another called Oskeocele when the Guts descend into the very God 't is known by seeing Another Bubonocele when they fal down no lower than the groin This somtimes doth very much distend the Skin and is stretched out under it and Causeth a great Tumor Both of them is either Enterocele when the Ileon Gut cheifly fal down or Epiplocele when some part of the Cal. See Geigerus in his Kelegraphy Hither belongs Exomphalos or Omphalocele when the Navel either Relaxt or broke struts forth somtimes the bigness of a nut somtimes of an Apple nay somtimes there is a Tumor raised like a Bag. If it be lately first of al foment it with a Decoction of tree Mosse self Heal made in astringent Wine afterwards lay a Cataplasme of Plantane and Lentils If it be Old after the like Fomentations t is Cured with the Oyntment of Mushrums of Nuts outwardly applied with convenient ligature inwardly with the essence of the greater comfrey with the Arcanum of Sal Gemmae Article V. Of the falling down of the Fundament and of the wounds and Vicers of the Guts 1. The falling down of the Fundament is a hanging forth of the outer part of the right Gut There is no need of SIGNS The CAUSES shall be spoke of in the Differences The CURE requireth I. A putting up of the Fundament fallen down which is performed gently with the Hand premising a Fomentation of emollient and
moistning things if it be swelled II. The retaining of it being reduced to its place either by astringent Decoctions or by pouders of Frankincense mastick c. Inwardly is comended the Decoction of the Root of wild self-heal being drunk Outwardly the Ashes of beetles of sheeps dung strowed upon the Gut The Differences are taken from the Causes 1. Either it is from great straining which is Either in forcing out the Excrements and then the Belly must be kept loose or in labour 2. Or it is from a great irritation which afflicts either in a dysentery or tenesmus against which the Cure must be directed or from the weakness of the Muscles which are wont to draw back the Fundament thrust forth after the emptying of the Belly or by reason of the often falling down of the Fundament or by reason of some cold and then the Nerves must be strengthned and the cold distemper be corrected 3. Or from a Resolution either by reason of a contusion of the Nerves about the Region of the Os Sacrum or Rump bone where things consolidating take place or by reason of some Extraordinary refrigeration of them of which we spake even now or by reason of some impostumation or fistula arising about the sphincter Muscles II. The wounds of the Guts I pass by the Perforations made by worms wind c. are either of the smal Guts in which the meat and drink comes forth Choler is cast up by vomiting there are great pains with a Feaver and these because the Guts have a Nervous Coat and ful of many Vessels are by no means or very difficultly Cured Or of the great Guts in which the Excrement comes forth the body is bound the which if they be long waies and smal they are the easier Cured if they be large and Crosse the Guts the harder no waies Cured if they become blackish See their cure in Practitioners III. Concerning Vlcers we shal treat in a dysentery Mortification is wont somtimes to follow a Rupture the Iliack Passion and an Inflamation it happens also in wounds if the Guts falling out of the Belly be alterd by the Aire and become blackish Chap. 2. Of the Symptomes of the Guts Article I. Of the Iliack Passion The Symptomes of the Guts are The Iliack Passion the Collick costiveness of Body and a lask The Iliack passion is a sharp pain in the smal Guts arising from a violent solution of continuity with a Tumor of the belly rowled up like a bundle of strings and so great an obstruction of the Belly that nothing goes downward but the Humors and Excrements are somtimes violently cast up by vomiting The part affected is the Ileon Gut and the other smal Guts for though somtimes the great Guts also may be affected yet there is no such vehemency and danger in them because they are looser and more ignoble The SIGNS are a sence of paine in the upper guts rouled up above the navel most sharp extending it selfe upwards cheifly to the right side a puffing up and vehement distension an eminent swelling of the upper part of the belly and smal guts a perfect restraint of dung and winde vaine belchings bringing no ease murmurings of the smal guts and cheifty of the upper if the evil doe increase al things are carried upwards Hence follow vomitings swellings under the ears a coldness of the extream parts and whole body with a great difficulty of breathing and stoppage of urine c. The conjunct cause is a violent solution of continuity proceeding from obstruction corrosion and other things of which shal be treated in the differences for then the expulsive faculty of the guts rising up to expel that which is troublesome to them and whenas it cannot move its natural way downwards because the passages leading to the fundament are possest with a strong obstruction or because the part pained or inflamed cannot bear the weight or acrimony of the humors or excrements by a converted and peristattick motion contracting the fibres of the guts it thrusts upwards first of al things hurtful afterwards by the violence of the motion al things contained in the guts The Cure is more hopeful if the guts be affected but in part if it befal children because they have a strong innate heat and humors â—ess sharp and biting 'T is doubtful if it afflict â—ld people if a strangury succeed unless a feaver happening and dissolving the matter plenty of urine flow forth If the hickops or vomiting or convulsion or dotage succeed Of little hopes if upon vomiting up of the excrements either deafness or an acute feaver or with the same an elevated hypochondry swellings under the ears do follow It Respects 1. The causes of which in the differences 2. The Pain which must be mitigated by things emollient and anodyne The Blood of a bat anointed on the hypochondries is confirmed to be of force by wonderful experience The Differences are taken from the causes I. One is from external things as from the â—yr either too hot and drying or cold binding up the passages from deadly medicines and pâ—â—â—ons from the use of pease services quinces medlars c. then the business must be done by vomâ—ting Another is from internal things of which in the following Difference II. One is from diseases of the neighboring bowels which wil appeare by their proper signs ' 2. From a rupture of which we spake formerly 3. From an inflamation which is common and cheifly happens in the autumn which forces to the center the thin and movable humors that were bred in the summer 't is known and cured as was said formerly 4. from an ulcer and other tumors to wit a schirrus with a continual hardness and a cancer which are scarce curable They reside either in the inward parts and then the tumor it selfe is visible Another is from the obstruction of humors which are 1. Excrements hardened and in this al things are more milde a long continued obstruction of the belly went before it the cure is ordered by things mollifying and fat things inwardly and outwardly applied a suffumigation of a calves Cal and guts boyled in broth is commended inwardly cream or tartar given one dram and an half weight in broth 2. Humors either thick and viscous or sharp and biting which if possible are to be cast forth Another is from wind in which glisters of sulfurious and salt things are commended Article II. Of the Chollick The Collick is a pain of the Collick gut arising from things that doth dissolve its continuity The Signs are a piercing and boring sense of paine in the great guts especially in the left groine where the collick gut is narrower carried most of al from the navel downwards a puffing up and distension of the lower part of the belly a suppression of excrements and winde a nauseousness belching vomiting difficulty of urine al which wil become more certain by the remembrance of things going before and the demonstration of things consequent 'T is
One spoonful of the tincture of orange peels extracted with spirits of wine Sperma ceti with oyl of sweet almonds Outwardly gum taccamahac and Caranna applyed to the Navel The antiapoplectical balsome with one or two grains of Zivet c. IV. One is exquisite of which we have hitherto spoken Another Spurious whose cause sticks either in the peritoneum or in the membranes which are spred over the abdomen and parts of the belly 'T is known by this that the paine is most greivous and very lasting and cannot be mitigated neither by glysters nor medicines nor fomentations nor by those remedies by which the true collick pains are abated and yet it succeeds to long continued feavers and other cholerick diseases whose solution is difficult For nature endeavoring a crisis and the expulsion of the hurtful humor by the stoole when she can no where find a ready and cleare way to empty it doth often cast it out of the veins and bowels into the membranes whence do arise pains more grievous than the former disease 'T is observed by Fernelius that both continuall feavers and tertians and more frequently quartans are terminated with these pains which a long time had their exacerbations at certaine circuits and retained the like order of fits See concerning this Mattheus Martinus on the diseases of the Mesentery V. Another is which tends to a particular palsey which Palmarius was wont to cure with a syrup compounded of white wine six ounces Rose water two ounces pouder of Alarbazi or antimony prepared one dram choice cinnamon one dram and an half infused al night strained by gentle pouring it off adding of Sugar eight ounces The dose is from half an ounce to an ounce after a draft of chicken broath Article 3. Of Costiveness of body Costiveness of body is no casting forth of excrements or very little in proportion to the nourishment received There is no need of signs The causes shal be explained in the differences The cure is not to be neglected for from thence the head is assaulted with vapors the whole body grows heavy the concoction of the stomach is hindred the appetite destroyed the loines grow weak to wit the veines being burthend and a preternatural heat caused in them Sometimes the belly is moved by sneezing and coughing sometimes if the diseased walk on the ground bare sooted c. The difference is taken from the excrements and guts I. One is by default of the excrements which either are not by reason of fasting and the use of meats of good juice Or do not stimulate either by reason they are small in quantity or by reason of the want of choler which either is carried to other parts as in the jaundice or is not produced out of cold meats Or they are hard either by fasting and a hot habit of body or by a continued restraint there by which it comes to pass that they forthwith grow dry and the veins of the mesentery do suck forth somwhat of their juice Or by reason of gross tough astringent meat eaten at first and not moistned by reason of the too great heat of the liver and kidnies and then there must be care taken of those parts we must act by mollefyers Solenanders liniment is approved of if the navil be anointed therewith 't is compounded of new oyle of sweet almonds goose grease May butter dialthea each two drams Coloquintida sixteen grains Salt one scruple and half the pouder of Simple hiera one scruple diagridium four grains II. Another is by fault of the guts which either do not feel either by reason of their long custom or by their stupidity such as is caused by the drowsy disease palsy apoplexy or by reason of flegme adhering to their coats of which in the chollick Or do not cast it forth either by reason of the narrowness of the passages from the obstruction of the guts of which formerly or of some tumor of the mesentery or bowels pressing the guts or from the fault of the muscles of the belly or from the strength of the retentive faculty from the moderate dryness Article 4. Of a Looseness Point 1. Of a Lientery and Coeliaca Fluxes of the belly are A Lientery Coeliaca Diarrhy Dysentery and Hepatick flux A Lientery is too sudden a voiding by the stool the nourishment in that forme in which it was received proceeding from the fault of the retentive and expulsive faculty of the stomach and guts The SIGNES are evident whether you consider the consistence or the colour smel and other qualities of the aliments taken The CAVSE we have laid in the definition on the faults of the retentive and explusive faculty of which hereafter in the differences The CURE must be hastened because this symptome proceeds from a great prostration of the natural heat and a weakness of the tone of the stomach 'T is difficult if it be supervenient to acute and chronical diseases because the strength is impaired It respects 1. The cause which must be taken away 2. The symptome which must be stayed by astringent means and things that stregthen the stomach and guts The Diffence is taken from the causes One is by default of the retentive faculty which is hurt 1. By the refrigeration of the guts which is caused I. By immoderate drinking of cold water especially when the body is hot by a southerne wind over moist and excessive cold especially in bodies of a fine texture c. 2. A cold distemper which ariseth from flegm either generated there or sent from some other part covering over the wrinkles of the guts doth make them laxe and slippery duls their heat and closeth up the mouths of the mesaraick veins In this for the most part a Celiaca was precedent If sour belching which was not before be supervenient to this of long continuance it is a good signe The Cure requires a casting forth of the matter either by vomit or stoole to which end serve Myrobalans Chebul Citrini tamarinds Rbubarb A restraint of the same and strengthening of the stomach by the distilled oyles of masticke wormwood mint c. order of dyet in which wine takes place II. by a laxness from the continuall use of things oyly fat and emollient from whence is too great a mollification of the Mouth of the stomach whether also belongs the resolution of the nerve of the sixth payre that contracts the fibres of the inward coat III. By a strange quality inured and that either from an evil constitution of the aire as happens in a popular lientery or from the unseasonable eating of mushrums melons cowcumbers c. IV. By a thick and smooth scar such as is wont to follow a great disentery and a deep ulceration which by its thickness stopping the Mesaraicks hinders the distribution by its smoothness the Retention This must be rubbed off and wiped away as it were by eating of sharp things attenuating and strong abstersive as musterd Seed Onions Garlicks honey of
Sometimes by no meanes if the stooles be black fat lived like the rust of brass and stinking The cure is undertaken by the same means as before having respect unto the Feaver It is divided twofold 1. Either it is Critical which is to be stayed and promoted or Symptomatical for a time which nature stimulated by the quantity or quality of the matter doth order before concoction but with strength of its faculty which is neither to be stopped nor promoted nor sometimes to be left to nature but the matter to be emptyed must be revelled altered Or plainly Symptomatical which is from the irritation of the cause of the disease nature being unwilling as it were which must be opposed by the remedies before rehearsed 2. Or it is colliquative or not of which see the following difference Another is without a feaver which is known by this that the humor is seldom voided under its pâ—â—per forme but changed and that 't is sigâ—â—yed by no signs that it doth proceed from the too much heaping in of corrupt meats or other causes there are no signs present of any particular part affected It is caused sometimes when serous humors the cause of a dropsy are voided by the stoole or when in sound men whose veins abound with very much serum the night or morning cold of the autum peircing deep into their bodies doth repel the serous humors from the outward vessels towards the inward into the greater passages of the vena Cava which at last being carried to the bowels and to the creeping branches of the mesentery flow into the cavity of the gutts Concerning the cure note That medicines are best given in a solid form That Oyle must not be mixed with vomiters that we must act with things incrassating and abstersive together that the Serosities are best of all dispersed by sweaters IV. Another is colliquative which otherwise is called a colliquative flux which is known by this that the excrements are for the most part endewed with divers colors commonly very stinking Sometimes fat and viscous that there is a feaver present either burning or malignant or hectick the body suddainly is wasted beyond measure c. It happens in burning feavers a hectick ptisick inflamations in which by the great heat not only the humors in the veins but the next aliment of the parts is melted and if it be thinner it is dissipated if thicker it flows to the belly The cure is for the most part in vain especially in hectick bodies and ptisical whose haire falls off we must act with coolers moistners and somewhat astringent which are not so much to be applyed outwardly as inwardly least the flowing forth of the preternatural heat be hindered Another is not colliquative of which in the third difference V. Another is from the guts when the matter causing the diarrhy resides in them and then the causes are 1. Somtimes Worms whose signs wil be ready and they must be driven away with their proper remedies 2. The obstruction of the mesaraick veins that they attract not the chyle which being collected there doth by its plenty stimulate the guts and then the chyle is voided white a consumption followeth if the fluxe last long we must act cheifly with openers and truly with such which also are good for the liver and do not provoke to stool Another from the brain which sends an inspid or salt flegm into the Guts cheifly in the night the patient sleeping on his back which either makes the coat of the stomach and guts slippery or mixed with the meat weakens the concoction 'T is known by this that there are present the signs of an infirme brain and 't is most familliar with stutterers by reason of their moisture In the cure Gargarisms and masticatories must be avoided least the matter of the catarrh be drawn into the stomach Vesicatories may be applyed to the first and second vertebra of the neck Another from the stomach which is known by the signs of the stomach affected It ariseth either from corrupt meats either of themselves then because nature is very much irritated the other humors in the body are stirred up an evil disposition is brought into the stomach and this diarrhy is dangerous or from the manner of taking them and then there is less danger Or from excrementitious humors heaped there by reason of depraved concoction which somtimes also are sent from elsewhere by reason of their evilness are not attracted by the liver and do stir up the expulsive faculty to excretion The Cure hath nothing Singular Another is from the Liver which is obstructed either in the hollow part where we must act with openers or in the Gibbous part and then diureticks do good Or abounds too much with Choler and then there wil be the signs of a distempered Liver In the Cure is commended for its astriction Old Cheese broken smal washt with some cooling and astringent water and fryed in a Pan. The Diureticks must not be sharp Another from the Spleen which Casts off a Melancholly Humor collected there or derived from some other part so that the stool is somtimes black as Pitch by reason of blood from some vessel opened in the hypochondries and poured into the Guts and there burnt to a blackness and then there are signs of the Spleen affected Blood falling out of the Vessels and concreting if it be stopped causeth swounings and other greivous evils Somtimes the Scurvy concurs Least the biting Humor exulcerate the Guts detersive and tempering Clysters ought often to be cast in Another from the womb when the Humors and Courses being stopt are carried to the Liver from thence to the Guts Then somtimes periods of time are observed in the Cure regard must be had to the Courses Point III. Of a Dysentery A Dysentery is a frequent bloody and Purulent going to stool with a Pain in the Belly and Exulceration of the Guts from a sharp corroding matter peculiarly offensive to the Guts The Name of Dysentery is attributed also to a diarrhy in which the Humors which are voided do Cause torments although there be no Exulceration and with this if blood somtimes be voided that comes rather from an opening of the Vessels than an Exulceration of the Guts The SIGNS are an often going to stool because the Guts are stimulated by the acrimony of the Humor somtimes continually if the matter be sufficient somtimes it returns periodically every third day The pain and torments of the Belly are especially at going to stool and a little before the excretion Those things that are voided are somtimes Cholerick and of divers kinds somtimes mucous and bloody somtimes wholly different from the natural kind of excrements A Feaver somtimes when the Disease hath lasted for some daies by reason of restlessness and putrefaction See the difference from an Hepatick flux in the Chapter of that It differs from an impostumation at whose breaking there follow eliquations as it were of matter because
calcined and boyled the same way and applied That they grow not again they must be anointed with Vineger and the Ashes of the Twigs of a Vine III. Rhagades or Clests are oblong Ulcers of the Anus without a tumor and those superficial or deep Callous or without a Callus moist and pouring forth filth or dry and Cancrous they arise 1. From the too much hardness of the Excrements which in their passage do break the Skin 2. From a dry distemper having joyned with it sharp Humors and somtimes malignant where moistners take place 3. from flowing of sharp corroding humors that have a certain clamminess by reason of which they stick to the part and then an itching and most sharp pain with burning troubles them The Purgers ought to be gentle and moistning Care is to be taken of the Virulency which discovers it self by the filthy smel and evil matter A Clyster of the Mucilage of Tragacanth the Seeds of Fleawort of each one ounce and an half Fresh Butter three ounces Red Sugar one ounce Oyl of Violets five ounces is commended IV. Fistulaes do follow inflamations Tumors and Ulcers of the Anus ill Cured They are known by their narrow Orifice but a bosome lurking within There is voided thence matter somtimes watry somtimes virulent They are divided into those which do not penetrate either into the right Gut or into the bladder which is discoverd by putting in a Probe which if they bring no great discommodity are only to be Mundefied with the Decoction of Agrimony and a little Alum and the Orifice if it be too narrow must be dilated with Elder Pith that the matter be not retained but if they ought to be Cured universals premised they must be washed dilated and cut And those which do Penetrat either to the Right Gut and then the Excrements of the Belly are voided through them and liquor injected comes out through the Gut or to the Bladder and then the Water is made through them Or to them both and then a Fart is let from the Privities as wel as from the Arse All these are seldome Cured Amongst things consolidating Joel commends the pouder of Mercury Precipitate strowed on laying over it a common Plaister Ursenick prepared or reduced to an Oyl layd on and the same Plaister over it If the Fistula be in the Sphincter muscle the Excrements of the Belly issue forth of their own accord See Hippocrates concerning them V. Hither belongs also an Intertrigo which is an Excoriation of the Parts neer to the Anus arising from vehement motion 'T is Cured with Deers and Goats Suet. Chap. 2. Of the Symptomes of the right Gut THe Symptomes of the right Gut are Itching of the Anus Tenesmus the flux of the Hemorrhoids and the stopping of them Article I. Of Itching and the Tenesmus The I-ching of the Anus is a Certaine painful tickling of the same Tâ—eâ—e is no need of Signs The Differences are taken from the Causes I. One is from sharp Salt and Viscous Humors sticking to the â—phinter which must be emptyed but the Arse must be washed with the Decoction of the Leaves of Mallows Violets Roses with Pâ—anâ—ane water and a little Alum 2. Another is from the Excrements left there which are wel washt off with the Decoction of Mullein 3. Another from Worms of which in theâ—r Chapter 4. Another from an ulcer to the which the Cure must be directed II. A Tenesmus is a continual desire of going to stool with pain in which either noâ—â—â—ng or a few Mucous things are voiâ—â—d I here is no need to add any Signs somtimes the right Gut fals forth and a dropping or difficulty of Urin happens by reason of the â—â—weeâ—ness and consent of their Parts The CAUSE is whatsoever is fixt to the exâ—â—eam part of the right Gut and can stimulaâ—e its Expulsive Faculty but what that is shal be explained in the Differences The CURE must not be neglected because from neglect of it oftentimes a sordid Ulcer remains which somtimes passeth into a Fistuâ—a It respects the Causes and the pain which must be mitigated The Differences are taken from the Causes I. From the too great cooling of the right Gut which is taken away with the Decoction of â—he Flowers of mullein chamomel Melâ—loâ— Dill with the Seeds of Flax Fenugreâ—k Bran. II. From the Stone or worms concerning which see in their places III. From the cause producing a Dysentery and then the manner of Cure is the same almost with that of a Dysentery Let the quantity of the Clyster be but little the Ulcee be washed and healed The Mucilage of th-Seeds of quinces and Fleawort extracted liquid with Water or Plantane Nightshade is good adding Bole armenick or washt aloes and cast in by Clyster IV. From Cholerick humors or Flegmatick and Salt sticking to the same where a Clyster of the broth of weathers Flesh with a few drops of Oyl of Wax being given takes place c. Article II. Of the Flux and stoppage of the Hemorrhoids The Flux of the Hemorrhoids is too great a casting forth of blood by the Hemorrboidal Veins This Disease hath no need of SIGNS First of al there flowes black blood feculent and thick and it comes forth as it were by drops whiles they wipe their brich afterwards good and ruddy at last yellowish and pale From thence the thighs grow weak the Hips feel a heavy pain the color of the Face is depraved Somtimes it observes its Periods somtimes it neglects them The CAUSE is whatsoever doth either Irritate the Expulsive faculty of the Veins and arteries of the Liver or Spleen or hurts their retentive The CURE shews it must be supprest which is performed by Revulsion by opening a Vein and by the external and internal use of astringents Outwardly are good by a propriety a girdle of the Leaves of Black Hellebor bruised fresh and girt about the naked body upon the use of which if pimples be raised the pain must be taken away by its remedies Spunges which grow under the seats of hot Houses in baths if they be burnt to pouder in a new pot and strewed on Colcothar or that thick Feces which is left at the distilling of Oyl of Vitriol if they be toucht with it one only being left Inwardly is commended Essentia Martis of which see Hartman A Confection of the refuse of Iron The Old Conserve of Roses with Bole armenick c. The Differences are taken from the Partâ— and Causes I. One is of the internal which ariseth from a branch of the Spleen extended through the Mesentery about the Colon and right Gut in the Muscles of the Anus and inward part of the Gut having an Artery joyned with it that alone is there terminated It is known by a weight about the Fundament difficulty of going to stool by Clysters Suppositories or an instrument And also if a Cupping-Glass be applied as Zacutus hath done Another is of the External which proceed from
time is less resisting the Fingers cannot be thrust under the ends of the Ribs It possesseth only the Membrane that compasseth the Liver yet somtimes it fils up the whol Hypochondry It ariseth either from a viscous Humor either sprung from meats of that Nature or made such by cold alteratives given about the time of Evacuation Or from a thin crudity arising from meats drink and other things inducing cold or from a thin wind The Cure is perfected by things opening and emptying Article V. Of the Wounds and Vlcers of the Liver The Wounds of the Liver which in Aged and ill habited bodies are very dangerous but by reason of the long effusion of blood are deadly are either from external causes which are Cured by things astringent and agglutinative red Roses dryed are commended or from a Contusion which hath Joyned with it a vomiting or dejections by stool or Urin with blood it is more dangerous than a wound and degenerates into an impostumation In the Cure it requires 1. The opening of a Vein in the Arme. 2. Potions Compounded of astringent things 3. The Flux of blood being stopt the dissolution of congealed blood by its Medicines An Vlcer of the Liver is a corrosion of the same from matter or juyce The SIGNS are an ulcerous pain in the right Hypochondry a Cough a Jaundice color of the Face a voiding of putrid sanious and bloody things by the stool or Urin an Atrophy because there is neither blood made nor the man nourisht The CAUSES are whatsoever things corrode the substance of the Liver of which shal be treated in the Differences The CURE must not be neglected although it be of little Hopes for it grows foul by a perpetual filth because t is continually washt with the nourishment 't is ordered as in other Ulcers The Differences of the Ulcers of the Liver are various I. One is in the Superficies which is less dangerous another in the Substance which is deadly because a spermatical part cannot be Regenerated II. One is in the Gibbous Part which is known by purulent Urins without the signs of an exulceration in the bladder and Kidneys by difficult breathing by pain of the midriff Another in the hollow part which is known by the bloody and somtimes purulent stooles by the pain of the Guts by reason of the acrimony of the matter by the sense of pricking and heaviness about the Liver III. One is which follows an inflamation which hath ended in an impostumation and this is dangerous especially if the matter be contained in the substance of the Liver Another is which ariseth from sharp and corroding Juyces which is known from hence that it creeps on by degrees the strength not impaired a Feaver ariseth in the progress observing no type which at length ends in a Hectick Loathing of meat afflicts them especially of flesh c. It ariseth from the default of corrupt or putrefying nourishments generous Wine heats the bowel and dries it and heaps up a certain putrid clamminess and matter Chap. 4. Of the Symptomes of the Liver Title I. Of the weakness of the Liver THe Symptomes of the Liver are Weakness Cachexy a Dropsie Jaundice and atrophy The weakness of the Liver or atonia is a hurt of the faculties of the same induced by its Causes The SIGNS ought to be taken from the consideration of the Excrements of the Belly of the urin and color of the whol body as shal be manifest in the differences The Causes hurting the faculties of the liver are diseases of distemper whether it be hot or cold to which is added an external error viz. when either the chyle is not rightly elaborated in the stomach or being wel elaborated somewhat vitious is mixt with it c. The Cure ought to be perfected with things that strengthen the liver and are appropriate to it as are the liver of a wolfe a calfe of hens snailes raisons c. As concerning the Differences One is by reason of the Sanguifying faculty which either is hurt by a cold distemper or the defect of natural heat and then the excrements of the belly are like to the washings of meat new killed which the cold growing more intense do cease crudities arise with which the feet first and then the other parts abound because the veins do suffer with the liver ill affected as being their original For the cure of this serves Rupert Cranesbil bruised a lie of the pruning of vines with wine c. Or from a hot distemper in which the chyle is burnt as it were the excrements are like to the dreggs of blood c. Another is by reason of the attractive faculty and then moist things flow down by the stool like creame although there be no fault in the stomach no obstruction of the mesentery Another is by reason of the retentive faculty and then is rendered by stoole things like to the washing of flesh new killed yet seldome moist and mattery c. Article 2. Of a Cachexy A Cachexy is a diffusion of the whol body into a watry and swelled softness by default of nourishment The Subject is the whole body but those parts especially which are obvious to the eyes as the skin and the muscles The signs are a color by reason of the flegmatickness of the blood sometimes white by reason of the mixture of cholor or melancholly sometimes livid or leaden A tumor with heaviness and sluggishness especially in the feet and hands by reason of the descent of serous humors and their distance from the heart and also about the eyes in the face cheeks ey-brows because those parts by their laxness do easily receive serous humors The Cause is the fault of nutrition For though that which is put to the parts doth concrete and adhere yet by reason of the too great plenty of crudities 't is not assimilated To wit the blood is flegmatick crude and serous and that is generated such either by reason of impure nourishments corrupt and producing abundance of serum Or by reason of the bowels which either are impure either from a Scrirhus as hath been said or from the effusion of a corrupt humor as hath been observed in a suppression of the courses that purulent matter from the obstruction of the ureters returning into the veins the blood being infected hath infected the whol habit of the body Or from their corrupt substance for so vitious and corrupt blood is brought forth and carried out to every part and there concreting It leaves a vitiated substance instead of a good hence the Cachexy is various according to the nature of the blood The flegmatick affects virgins and threatens a universal dropsy Or they are weak because they have been hurt either by the continuance of diseases or by too much evacuations or by long imprisonment c. In the Cure we must diligently observe 1. That regard be had to those diseases from which the cachexy proceeds 2. If humors abound they
cure of a fistula see in Langius l. 3. epist 5. Article 3. Of the straitness of the Vrinary Passage The straitness of the urinary passage is an interception of the same proceeding from its causes and inducing a stoppage of urine The signs causes and cure If you consider this affect in general have nothing singular The differences are taken from the causes I. One is from obstruction which is caused 1. Either from the stone which is known by this that signs of the stone were precedent the urine is somtimes made freely somtimes the stone falling from the bottom of the bladder into its orifice 't is suddainly stopt the pain urgeth most at the root of the bladder The cure consists in removing of the same by shaking of the thighs if it be great that sticks at the orifice by bringing it out of the extremity of the urinary passage if it be smal and can be moved out of its place by laxative fomentations and things that break the stone if it cannot be moved out of its place with the fingers 2. Or from clotted blood which is known by this that a wound or rupture of a vessel went before the blood was poured forth with the urine outwardly common ashes may be applyed with honey 3. Or from matter which either was in the kidneys or bladder or by the breaking of an impostumation in the upper parts was carried thither 4. Or from thick and viscous flegm and then the urine is almost totally supprest there are present signs of flegm we must use things incisive and attenuating II. Another is from a constipation by a caruncle a callosity a wart growing in the passage of the urine which is known by this that neither the urine is pist out freely nor the seed sent forth great pains are present t is tryed by a catheter or wax candle put in But because the urine alwaies flows alike from the stone because 't is never almost wholy intercepted by a flegmatick obstruction upon that account 't is known It is cured by things that wast and consolidate Of those is commended premising universals oyl of Mercury with a little sugar of saturne and camphure amongst which I reckon the decoctions of China and sassafras the pouder made of mercurius dulcis half an ounce crude antimony one ounce rutty prepared two drams of the use of which consult Hartmans Chymiatry III. Another is from compression which is caused either from the coldness of the right gut or from the inflamation of the neighboring parts or from the swelling of the yard and neck of the bladder or the contorsion of the bladder or the falling down of the bladder into the Cod. The Cure must be directed against the diseases Chap. 2. Of the symptoms of the bladder Article 1. Of the incontinency of the urine THe Symptomes of the bladder are incontinency of the vrine a diabetes an Ischury a Strangury dysury bloody pissing purulent c. Incontinency of the urine is a sending forth of the same by reason of the resolution of the sphincter muscle or compression of the bladder without any sence of acrimony and paine beside the wil of our command There is no need of Signs in an affect so manifest The cause is cast upon the resolution of the sphincter of whose causes in the differences and the compression of the bladder which comes to pass either from a convulsion of the muscles of the belly or from the greatness of the young one about the last months or from a tumor placed upon the bladder of al which respect must be had in the cure The cure varies according to the nature of the Differences The Differences are taken from the causes inducing the resolution of the sphincter and the time I. One is from a palsy of the nerves which from the loines are inserted into it by reason of which it cannot contract it self and then 't is harder to be cured if the spinal marrow be affected or the muscle it self wounded The causes by reason of which a palsy comes must be inquired from its chapter and as they vary so the cure must be varied Another is only from the laxness and softness of the sphincter and then the patients can neither endure the acrimony nor abundance of urine when the animal powers are asleep For the cure are commended Diacyminum Frankincense drunk in wine the throat of a cock rosted and dryed that it may be ground to a pouder given at night in astringent red wine The bladder of a goat dryed in an oven and poudered given likewise one dram weight II. One also is diurnal which afflicts the apoplectical and paralytick Another Nocturnal which is wont to happen to children by reason of the cold and moist distemper of the muscle or not thinking of it in succeeding yeares the muscle of the bladder growing dryer and stronger it ceases By reason of continual drinking for the most part it follows those of riper years to their death Article 3. Of a Diabites A Diabetes is a most quick and plentiful pissing of the drink unchanged arising from the intense attractive faculty of the kidneys and afflicting with a strong perpetual thirst The Part affected is the kidnies yet so that the bladder also opprest with the plenty of urine consents The Signs are plentiful pissing little or not at al changed a strong thirst nor any satisfaction from the taking in of any liquor a paine pracking and heaviness about the loins a coliquation of the whole body the belly dryed and withered The Cause is controverted amongst physitians we hold 't is the intense attractive faculty of the kidnies arising from a very hot distemper of them which is caused by an afflux of sharp and biting humors viz. choller and salt flegme impacted in the substance of the kidnies the too great largeness of the emulgent vessels and ureters the heate of the liver pestilential feavers the weakness of the stomachs retentive faculty doe help Thus when the kidnies draw plenty of serum from the veins and cannot contain it by reason of their weakness they send it to the bladder the veins again draw from the liver this from the stomach whence the orifice of this being emptied and dryed there ariseth a continual thirst c. The Cure is too difficult and for the most part passeth into a hectick and dryness of the whole body 'T is ordered 1. By things that correct the distemper of the kidnies where bleeding also takes place 2. By things that dul the acrimony of the humors and make the blood and with it the serous humor flower to motion The essence of crocus martis described by Crollius Baths made of smiths water drink but little of the decoction of harts-horn salt of corals c. are thought to be prevalent As Concerning the Differences 't is only one One is an exquisite diabetes of which we have now treated Another spurious which is nothing else but a colliquative flux of urine while the
Gut and Womb and purulency of the Kidneys there follows a dropping Upon the falling down of the Womb the Urin comes by drops and is a little biting Another is simple and without pain which is known by a white Watry Urin by the Age Complexion cold course of Diet pregression of a burning Feaver It ariseth either from the refrigeration of the bladder it self and the Muscle shutting its neck and then Diagalanga Mithridate c. are wel taken inwardly Oyl of Rue is wel outwardly applied Or from a Compression of the bladder which is wont to happen in great Bellied Women Article V. Of a Dysury A Dysury is a making of burning Vrin somtimes little somtimes much with pain without interruption arising from Causes both external and internal affecting the Vrinary passage The SIGNS are evident for the pain is easily perceived by the Patient The CAUSES are whatsoever can dissolve the continuity of the Neck of the Bladder or of the urinary Passage or Cause pain in pissing The CURE is Difficult if it fal upon Decreped Old men if a suppression of the Urin happen with it It respects 1. The Cause which must be moved by the aforementioned emptyers which ought to be followed with essence of Turpentine one dram with Parsley water and Syrup of Citrons 2. The Pain which is mitigated with warm Milk cast in by a Catheter by dipping the privities in a Vessel ful of Milk by a Cataplasme of Pellitory of the Wal with Oyl of Scorpions c. The Causes raising the pain do afford us the Differences One is from things external as Cantharides and then milk is good from Poyson and then we must act with things alexipharmacal Another from internal which are 1. The Acrimony of the urin of which formerly The water of bean flowers or its fresh Cods given with Syrup of Liquorish or Poppies six ounces weight before meat is good Also Fallopius his Electuary in Schenkius in Exoter Experim Gent. 4.19 2. An Inflamation whose pain is encreased the bladder being contracted to send forth the Urin and compressed after the emission which oftentimes an exulceration follows 3. A Stone striking against the Neck of the Bladder in pissing 4. The Seed moved in men buâ—sticking in the Passage and by an Acrimony contracted corroding the Passage which is wont to happen in the French Pox. 5. A white and milkie matter which somtimes is sent forth in such abundance that when 't is setteld it fils one half of the Chamber Pot. The which ariseth from a Vitious Conâ—â—ction in which the Salt and Tartarous parts are not separated but are attracted by the Kidneys It is Cured universals premised by the use of Hyppocrist or Mallago Wine Article VI. Of Pissing of blood matter and Hairs Bloody Pissing is a voiding of Blood together with the Vrin arising from the heaping up of the same in the Bldder The SIGNS are that the Urin doth not shine and hath the Color of Water in which the flesh of beasts new killed is washt The CAUSE is explained in the definition and in the Difference more shal be said The CURE must be hastned if the evil be inveterate least it lead to a Consumption or cachexy If it be cast forth in abundance least it stop in the Bladder and putrefie It must be turned against the Cause The Symptoms requires other things being alike things astringent condensing and consolidating amongst which do excel Yarrow with the white flower the Tincture of emralds the Arcanum of agrimony and Cinquefoil Mynsichtus his Decoction c. The Difference is taken from the Parts that pour forth the blood One is from The Kidneys which is known by this that it is plentiful is exquisitely mixt with the whol Urin that being as it were diluted with it 't is thin ruddy liquid and sertles without clotting together It ariseth either from the Anastomosis of some Vessel in them and then 't is made plentiful and high colored or some violence or wound hath went before or there are signs of Fulness or the blood is too thin Or from the corrosion of a Vessel and then the blood is voided in a lesser quantity especially at the beginning Or By a Diapedesis and then the Urin is lightly dyed with a red color The Cure also requires opening a Vein in the Arm which must be followed with the use of astringent means inwardly and outwardly The Trochisks of Gordonius are good Another is from the Liver either weakned or opprest with blood or affected with the same diseases as I said even now and then there are no signs of the Kidneys affected we must consult with the Chapter of the diseases of the Liver Hither belong the suppression of the Hemorrhoids of which in its place a wound of the ureters from stones passing through them from which very little blood flows forth c. Another from the Sphincter muscle of the neck of the bladder and then the Urin is not equally spred over with it the blood setling goes into clots the pain for the most part oppresseth in pissing and burns as it were the Root of the Yard other signs either of an Ulcer or of a Vein broke are present the Cure is the same Another from the inward Passage of the Yard and then it oftentimes comes forth without the Urin that which comes with the Urin clotting together presently sinks II. Purulent Pissing is a voiding of matter with the Vrin heaped up in the Bladder 'T is heaped up 1. By default of the bladder it self either because that is troubled with an Ulcer or because the blood conteined in the bladder is turned into matter and then the matter is voided less mixt with the Urin with branny Scales 2. By Default of the ureters and then a little swims a top like Hairs By default of the Vrinary Passage of the Spermatick Vessels and the parastatae and then in the first place it comes forth sincere 4. By default of the Kidneys Liver breast in as much as those parts do transmit matter through the Veins to the Bladder and then the matter is accurately mixt with the Urin if any thing thicker be a Part it flows forth towards the end III. A Pissing of Hairs or Trichiasis is when with the Vrin a mucous matter is voided somtimes like to Hairs somtimes to thin Leaves Those Hairs somtimes equal the length of one or two hands breadths The Cause of them is a thick and viscous flegm dryed and knit together in the Veins by heat which in its long passage through the narrow Veins of the Kidneys and ureters is extended to so great a length See concerning this Horstius his fifth Section Epistol medica In the Cure Spirits of Turpentine with Syrup of Marsh-mallows is good Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title X. Of the Affects of the Genital
from the cava It ariseth from an impurer blood flowing to the testicles and cod by degrees dropping from the membranes of the vessels and changed by nature that is never idle into a substance like unto flesh 'T is cured 1. By repression with repellers and dryers the pouder of the root of Rest-harrow is commended 2. By cutting of which see Authors 'T is divided into a scirrous one in which there is neither pain nor heat and a malignant one in which there is felt a pricking pain IV. Another is various or a Cirsocele in which the vessels nourishing the stones are dilated like to varices 'T is known by this that the veins are sweld and wreathed and rounded like shootes of vines the tumor is oblique and rowled up like a grape spring and autum the the guts being distended with wind or the feet cooled a pain accompanies it It ariseth from a thick melancholy humor poured into the vessels 'T is hardly cured things drying and hanging the stones in a truss are good Cutting can scarce be used without hutting of the stone Article 3. Of the diseases of the Yard The diseases of the yard are various I. A distortion which befalls those who indulge too much to venery and have their genitals along while distended for then the spirit concluded in the ligaments acting violence upon some part of another ligament doth relax it and makes it bunch forth like a beane or glandule by which means it comes to pass that how much is added to the accustomary latitude of the part so much is bated of its longitude 'T is cured by abstinence from venery and by those things which serve for the cure of a rupture See Arantius II. Inflation and inflamation of which that doth somtimes arise from lying with a woman whose womb is uncleane and repleat with sharp humors we meet with nothing singular concerning them III. Warts and excrescencies which either are upon the top of the nut which degenerate into a canorous Sponginess or they bunch out about the flesh of the nut and under the foreskin it self and they are soft spongy alwaies moist smel il and are dayly increased and are familiar with them that are troubled with the French Pox. They require Chirurgery IV. Vlcers which are divers 1. Some are external which are apparent to the sight yet somtimes when they are about the nut and foreskin they cannot be seen by reason of the swelling of the part If the region of the nut be exulcerated all medicines ought to be drying Others internal sticking in the urinary passage which are known by the pain caused by the urine passing by and the matter coming forth before the urine the yard swelled and distended They arise either from an impostumation following an inflamation or from sharp urine or from rough stones and rough things hurting in their passage They are cured as others be 2. Some penetrate that both external and internal parts be exulcerated and the ulcer pierceth even to the urinary passage Others not so 3. Some are old sordid and rotten which are wel washt with hydromel and wine Others are virulent as those that happen in the French Pox in which we must use precipitate mixt with a convenient linement til that which is callous be wasted away If a gangrene or mortification follow it must be cut Chap. 2. Of the Symptoms of the genital parts in men Article 5. Of the generation of seed hurt and the erection of the yard THe symptomes of the genital parts in men are the generation of seed hurt the erection of the yard hurt Lechery a Priapisme a Satyryiasis and the runing of the Reins The generation of seed hurt is when either it is not generated or not such as may serve for procreation 'T is twofold therefore one is when the seed is not geneted which comes to pass either by defect of matter or by the things â—on natural as hunger watchings or by things preternatural drying up and wasting it especially the diseases of the heart or by reason of the attraction of the same by other parts which comes to pass both in children and fat follâ— in whom al the nourishment is changed into the substance of the body Or by reason of a fault of the faculty of the genital Parts whether it be innate or acquired as a defect of the Vessels generating or carrying the Seed bewitchings inchantments c. Another is when 't is not generated fruitful which comes to pass either by reason the matter is not commodious too hot moist or dry Or by reason of a cold distemper of the genital Parts which somtimes is contracted by too much lust in youth by applying mercurial Oyntments to the genitals c. There is no need of Signs The cure must be directed against the Causes But the Seed is increased by the greater Root of Dogs stones cubebs the Yelk of a new laid Eg with Wine and a little Oyl of sweet Almonds Crollius his essence of Satyrion Mynsichtu his Confectio Magnanimitatis and de Succulata Inda II. The erection of the Yard hurt or a viril impotency is when that by no endeavors can be erected or extended There is no need to treat of the Signs The Causes and Cure are expounded in the Differences The Differences are taken from the Causes For there is one viril impotency from the defect of Seed either because it is not or because it is but little or crude and doth not stimulate of which we have spoke formerly Another is from the defect of vital spirits either because they are few by reason of the coldness and dryness of the heart or because they are called another way which happens in medications fear bashfulness c. Or because they are not received by the substance of the Yard either by reason of a stupidity of the Member or by inchantments Another is from a resolution of the Yard effected by those Causes which we mentioned in a Palsie See Medicines serving for this Disease in Stockerus l. 1. c. 55. Where he makes mention of Satyrion five ounces which ought to be mixt with the blood of Sparrows ten ounces and be held under the Arms. Some say that lust is wonderfully provoked if the great Toe of the right Foot be anoynted with Oyl in which Cantharides have been dissolved And also a simple washing of the Privâ—ties with the Decoction of Columbines which must be followed with a Fumigation of a dead mans Tooth poudered and cast upon the coales Article II. Of Lechery a Priapisme and Satyriasis Lechery is too great a proneness to Venery by default of the Seed somtimes also so great that 't is turned into madness The fault of the Seed consists 1. In the plenty of it either from the abundance of blood or from the heat of the Vessels dedicated to the generation of Seed by whose means more is attracted In the Cure we must act with things that consume the Seed amongst which Mint and Sugar
of Saturn excel But a Vein must be opened also and the Patient Purged 2. In its Acrimony contracted from hot meats Medicines and sharp things which must be opposed 3. In its Commotion whiles seeking a Passage it causeth an itching II. A Priapisme is an erection of the Yard without any desire of Venery arising from a windy Spirit filling up the hollow Nerve of the part That Vaporous spirits ariseth either in the Nerve it self from a cold distemper or in the Yard and Vessels from a thick and crude Humor by an unproportionate heat and here the distilled Oyl of Rue takes place For the most part 't is by Reason of the mouths of the Arteries are too open and dilated pouring forth plenty of Spirits because perhaps the Loyns and Kidneys being heated they grow hot and are filled with much spirits which happens to those that abound with much blood In the Cure universals premised Water Lillies the Seed of the Chaiste Tree and other coolers ought to be applied A Satyriasis is a Palpitation of the Yard following an inflamatory disposition of the spermatick Vessels with a distension It happens rather to young men than to other Ages the Cure must be hastened least they fal into a resoultion or Convulsion of the Seminary Vessels We must have a Care of Purges in it unless Perhaps we can make an aversion by Vomits and from things that move Urin. Article III. Of a running of the Reins A Gonorrhea is a too great and involuntary shedding of the Seed arising from its own fault and the fault of the Spermatick parts The SIGNS are evident the seed is shed a gainst their wils without lust and dreams of lust without any stifness of the Yard with no sense of delight or very little from whence is caused a slenderness of the whol Body about the Loyns especially with a paleness and hollowness of the Eyes The CAUSE and CURE shal be explained in the Differences The Flux is stopt by the magistral of the bone of the fish Sepia given from six grains to half a scruple with old conserve of Roses By fixt Antimony with Plantan Water The Difference is taken from the Causes One is by default of the Spermatick Parts 1. Of a cold and moist distemper which either ariseth from external Causes endewed with such a vertue and weakens their retentive faculty as too much Venery or from an afflux of Humors in which Case emptying and binding with heaters mixt takes place It is the easier Cured so it be new the pouder of Turpentine given with milk for fifteen daies does good 2. by default of their Laxness when their Bladders conteining the seed and the Vessels that carry it are too much enlarged and Relaxt Another is by the fault of the Seed it self which is 1. Plentiful by forbearing from Venery and by using meats that nourish wel and then bleeding Fasting exercises do good 2. Sharp and hot stimulating the expulsive faculty which proceeds from the like blood by reason of the heat of the liver and Kidneys and then a priapism for the most part is joyned with it external Causes went before The Cure must be ordered by emptying of Choler by anointing the back bone and Loyns with cooling Oyntments 3. Crude watrish and thin and that either by reason of the coldness of the stones or of things taken or the like distemper of the Liver and then the Seed comes froth even at the touch of a Woman there are present the signs of crudity In the Cure we must act with driers and strengthners The essence of Turpentine is commended given one dram weight in Syrup of Agrimony Or by reason of the abundance of Vitious Humors in the body which are sent to the spermatick Vessels and then we must act with emptiers and good Diet. 4. Virulent and Malignant as is concracted in the French Pox which is known from hence that at first a white Poyson or somwhat Yellowish fals from the spermatick Vessels insensibly as wel when they wake as sleep which in time putrefies and gets an Acrimony eats and exulcerates the Passage of the Yard from whence ariseth a pain which also when 't is stiff does stretch a string as it were under the Yard and in pissing does goad sharper as it were in a dysury that is somtimes hollowed so deep that it breaks outwardly at the upper Skin of the Yard It ariseth from a weakness of the Spermatick Vessels and stones contracted by that poysonous Evil which causeth that whatsoever is collected in these Vessels turns to a filthy Poyson which by contagion Pollutes any other body As concerning the Cure 't is difficult in old Men in al if it be stopt without reason For there is collected for the most part an impostumation within somtimes about the stones in the Epididymis somtimes in the Perinaeum which the Skin breaking pours forth the matter We must abstain from things astringent least it being retained doth corrode the Parts Dryers and things that resist Putrefaction as are Sorrel Treacle Mithridate and those things which are dedicated to the French Pox do good Titile XI Of the Diseases of the genital parts in Women Chap. 1. Of the Diseases of the Neck of the womb Article 1. Of a Tentigo and Cauda THe Diseases of the Womb are either of the Privities or Neck of the Womb or of the womb it self To those belong Tentigo Cauda Straitness pustles condylomato Hemorrboids and Vlcers I. A Tentigo or great bit and the womans Prick is the growing of the Clitoris into too great a bulk The Subject is the Clitoris or that Nervous flesh hard which in the Neck of the Womb the Joynt wings of the Privities do embrace and at the Top of which that is the which swels in desires of Venery This manifest affect needs no SIGNS somtimes the bulk is so great that it hangs forth through the cleft of the Privity as thick as a goose Neck and resembles a mans Yard they have too great desire of Copulation The CAUSE is too great an Afflux either of an Humor or nourishment by reason of its Laxness which is induced by often touching and 't is wont to cause lust at the least rubbing of the Cloathes The CURE respects 1. The abatement of blood and the bringing forth of other Humors for which ends serve a most slender and cooling Diet and discussives especially the leaves of the lentisk and Olive 2. The taking away of the same Excrescency where first must be applyed the gentler causticks As Alum Vnguentum Aegyptiacum the lie of which Soap is wont to be made boyled with Roman Vitriol adding towards the end a little Opium and make Trochiskes of them with which pouder the flesh must be strowed over at last the flesh must be cut off either by Ligature or Section having a care of an Inflamation II. A Cauda is a certain fleshy substance arising from the Mouth of the Womb which fils up the womens Privity and somtimes
hangs forth like a Taile The SIGNS and CAUSES are the same as in a Tentigo only that Women fear Copulation The CURE is also the same if it must be cut off it must be done either with a Horse Hair or a silken thred dipt in sublimate water or by Iron Article II. Of the straitness of the Neck of the womb The straitness of the Neck of the womb is either a stopping of the same or of the Orifice of the womb either by compression or a growing together The SIGNS are the Flux of the Courses denied in them in whom they were wont to flow through the Neck a sense of pain with a weight The CAUSE is either natural when it affects from the birth or accidental of which in the Differences The CURE varies according to the Nature of the Differences The Differences are taken from the Part and the Causes I. One is of the outward Orifice which is called of the Pudendum in which the Courses which flow both by the neck and by the womb are disappointed there can be neither Copulation nor Conception because neither the seed nor the man is received Another of the inward which is called the Orifice of the Womb in which the seed received presently flows forth again conception can in on wise be II. One is by way of Compression which is Caused 1. By a Fat Caule lying on the mouth of the womb 2. By a stradling of the Thighs 3. By a stone in the bladder 4. By a Tumor in the right Gut of which in their place Another is by way of growing which is caused 1. Either from the birth and then either flesh stops it which is red to sight soft to touch or a Membrane which is white to sight hard to the touch In the Cure 1. The Part being moistned with warm Fomentations it must be cut streight up taking Care that the Neck of the Bladder be not hurt 2. The humor must be drawn forth and a tenâ—must be applyed dipt in a suppurating Medicine 3. And astringent pouder must be had in readiness for fear of a Flux of blood 4. The following daies the place must be washt with honey water and we must act with things that Cicatrize 2. Or after the birth cheifly from an Vlcer and then either the sides of the Neck are grown together in which case we must use incision but very warily or there is a Callous substance which first must be cut off with a Pen Knife or a Spongy and Luxuriant flesh in which first of al we must use dryers and discussives as brithwort Frankincense Myrrh Mastick afterwards we must apply corrosives without pain at last we must cut it Article III. Of the pustles Condylomata and Hemorrhoids of the womb Pustles of the womb are little bunchings arising in the neck of the womb which by their Acrimony do Cause itching and pain The SIGNS are Itching Pain a folling down of Scales like flower to which we must add a Speculum Matricis that the affect may be the better discovered The Cause is cholerick sharp adust and thick humors which emptied into moist and loose places do insinuate and immerse themselves in them The CURE respects the causes universals being premised where amongst preparatives prevaile syrup of Fumitory of succory with the decoction of hops topicks discussing and mitigating the humor especially baths and halfe baths which must be followed with washing the part with wine and niter But these must be often repeated They are divided into benigne and malligne or venereal which are stuborn and contagious they ought to be washt with the water made of aloes the quantity of one vetch flower of brass the quantity of half a vetch flower of brass the quantity of half a vetch pouder'd and mixt with white wine one ounce plantane water and of rose heads each one ounce and kept in a wide mouthed glass II. Condylomata are swellings of wrinkles in the necke of the womb with heate and paine There is no need of Signes because they appeare to the eyes oftentimes if there be many they resemble a smal bunch of grapes The wrinkles hang forth like knobbs which appear in the fist clutched But they swel more when the courses flow The CAUSE is Thick and Adust humors The Cure in general respects the taking away of the causes and repercussion and drying As concerning the Differences Some are with an inflamation in which the pain and heat is greater the condylona is hard In the Cure we must act with anodyne half baths and perfusions Others without an inflamation which if they be new we must repel and dry if cold and inveterate we must first mollefie then disgest and dry Here take place the pouder of egg-shels burnt the oyntment of trochisks of steele one dram redeuced into pouder and mixt with oyl of roses and wax adding halfe an ounce of the juice of mulein The oyntment of the mad apple concerning which see a Castro l. 2. c. 25. de Morb. Mulier If the condiloma yeild not to these medecines it must be cut off by an instrument and astringent pouder strewed on III. The hemrods of the wombe are smal swellings like unto the hemrods of the anus raised in the necke of the wombe by an afflux of Feculent Blood The Subject is the neck of the womb for there they are where the veins doe end as in the hemrods of the anus and these are lift up by an afflux The Signs are manifest for they are discovered by the sight if a speculum matricis be applied the women looke pale and are troubled with a weariness The Cause is Feculent blood which when sometimes it flows to these veins not at its due time there stopping it becomes thicker that it cannot penetrate the orifices The Cure is order'd 1. By revulsion by opening a vein in the arme 2. By derivation by opening another in the ankle They are divided twofould I. Some are painful which by the paine it selfe are distinguisht from the courses and are cured by things that mitigate the same especially half baths and the Cataplasme of a Castro l. 2. c. 26. de Morb. Mulier And also with opium which notwithstanding is safer in the hemrods of the anus Other without pains to which what is and shal be said ought to be applied II. Some are open which flow either moderately and then the business ought to be comitted to nature Or too much so that the strength is dejected and there is feare least an evil habit of body be induced and then for revulsion blood must be taken from a vein of the arme at several times For purging myrobalanes tamarinds and rhubarb serve At last we must act with things that stop blood Others are blind from which no blood at al flowes forth The Cure is perfected by emptying of blood by emollition and fomentation of the part with mollefiers and things opening the mouthes of the veins and discussing the matter By artificially opening
is cold and happens to them cheifly who lead an idle and sedentary life 'T is cured as the former yet observe that the fume of the shaving of Ivory and Sage boyled in wine and water conveighed through a pipe before supper is commended Sulphurous baths beare the palme away in outward things we must have a care of astringent means least they detain the excrementitious humors Another is dry which is known by the scarceness of the seed and courses slowness to venery dryness of the mouth of the womb the color of the lower lip a blackish red with continual clefts It ariseth somtimes from the very birth whence the patient hath a dry temper and slender constitution of body Somtimes by reason of age whence they cease to breed Somtimes from diseases themselves viz. an inflamation c. somtimes from defect of blood which ought to moisten it either because 't is not emptyed by it by reason of the straitness and obstruction of the veins or because being emptyed through the neck it comes not to the bottom 'T is cured 1. By a contrary dyet in which too much labor watchings fasting sadness are very much to be eschewed 2. By the use of moistners amongst which do excel burrage bugloss mercury Marsh-mallows violets amongst externals baths of sweet water and anointings with oyl of sweet almonds white lillies hens grease the marrow of calves leggs c. The cure is difficult if the dryness be of long continuance and hectical II. One is simple to which belongs what hath been said before Another compound most commonly cold and moist which is known by the former things compared amongst themselves It ariseth from flegmatick humors whether derived from the whol or produced by the whol It is cured 1. By preparation of the matter by hot hysterical means 2. By emptying and that universal of the whol body by things that purge flegme By particular of the womb it self of which we must have the greatest care if nothing proceed neither from the whol nor the parts And here pessaries do much also sulphurous and drying baths by sweaters which are here very much commended viz. with the decoction of Guajacum china sarsaparilla lentisk wood c. 3. By a contrary dyet Article 2. Of the straitness of the vessels of the womb The straitness of the vessels of the womb is an interception of the same from its causes The signs are both a retention of the courses that they cannot flow and an hindrance of conception by reason the falling down of blood is intercepted The cause and cure shal be expounded in the differences 'T is divided twofold I. One is from external causes as medicines and astringent baths which is known by the relation of the sick 'T is easily cured and we must act with moistneâ—s and mollefyers Another from internal of which in the following difference II. One is from a Skarre flesh or membrane growing on the orifices of the vessels or from a growing together of the mouths of the veins after a violent drawing forth of the secundine which is almost incurable yet some tryal may be made with things mollefying Another from obstruction which thick viscous and plenty of humors do cause whether they flow thither from the rest of the body the heat not being able to attenuate them or be heaped up in the womb it self by reason of the weakness of heat in that It is known by this that there are present the signs of a cold distemper a moisture like snivel somtimes flows forth from the womb It is cured as other obstructions Revulsion hath its place if the matter flow thither Amongst openers of obstructions are commended sharp and bitter medicines that move the courses steeled wine baths corrected with mollefyers and openers Another from compression which is caused either by a tumor and scirrus consisting in the womb or without it and then the signs of a tumor are present The evil is almost incurable or by the too much fatt of the neighboring parts and then that is wholy manifest to the sence we must act with things that do extenuate Article 3. Of an inflation of the Womb. An inflation of the womb is a distension of the same by wind produced out of a cold flegmatick and flatulent matter by default of a weak heat 'T is called also a windy Mola by reason of the false hopes of a conception The signs are a distension of the womb consisting in the region of the belly which is somtimes increased somtimes diminisht somtimes 't is extended to the sides somtimes to the navil loins and midriffe It is distinguisht from a dropsy by its lesser bulk want of thirst by the increasing and decreasing of the tumor by a less wasting of the upper parts From a dropsy of the womb by the foregoing of causes generating wind by a noise less heaviness greater distension by feeling an extensive and pricking pain in the neighboring parts From an inflamation of the guts because here neither are pains nor costiveness of body because the courses are stopt the feet and hollow of the eyes do swel and color of the body is changed because the woman pants is greived and when she wakes out of her sleep breaths with her neck upright From a mola by the want of heaviness and hardness in the belly with a weight moving it self from side to side when they move From a conception by the sound and increase and decrease of the tumor by wanting of motion like to the moving of the infant for if the belly be prest strongly the wind being driven to the neighboring parts a certaine beating motion is felt in the whol belly The cause is exprest in the definition the matter it self is either generated in the womb it self Either by reason of the suppression of the courses or by interception of the purgation after a delivery or proceeds from elsewhere either by the veins or by the feed vessels But the weakness of heat ariseth for the most part from the external aire stopping by its coldness those impurities in women lying in which seek a passage forth from hard labor abortion stoppage of the courses c. The cure if you consider the method differs not from the cure of other inflamations so we have respect to the part Observe that amongst purgers Species hierae and diaphenicon with castor are commended For suffumigation Nutmeg of which Hartman in his chymiatry for plaisters the plaister of bay berries with treacle for drinks nutmeg bruised boyled with the roots of feverfew and drank with six ounces of wine two drams of Sugar The Differences are taken from the part it self One is when the wind is in the cavity and then the mouth of the womb is so closedup that none of it can get forth when either the woman is moved or her belly perâ—t with the hand a sound and noise is perceived But that it may be conteined in the cavity is certain both because the womb
right Gut is offended Article VI. Of a Dropsie of the Womb. A Dropsie of the Womb is an impotency of the same from water collected in it either by its own fault or the fault of other Parts The SIGNS are a loose swelling of the lower part of the belly extended according to the figure of the Womb a scarceness and evilness of the Courses because they are like to the washings of flesh their failing before the time the thinness and moisture of the mouth of the Womb softness of the Breasts and want of milk a rigour and oftentimes a Faver 'T is distinguisht from an Inflamation by want of a Feaver and by its softness by other Symptomes of which formerly From an inflation by defect of distension and noise From a Mola because in this a greater weight is felt in the bottom of the belly the breasts at the time of the birth approaching do swel From a Conception because in a Dropsie the Tumor of the Womb is extended according to the largeness of the womb and belly inconception 't is pointed In women with Child the Courses do not flow here a certain bloody Humor evil flows forth observing no order and is quickly stopt From a Dropsie of the Belly by the Patients color in the Face unless the Liver be affected by want of thirst by the ascent of the Tumor from the lower part to the upper The CAUSE is the water there either by the fault of the Spleen or Liver of which consult with their proper Chapters or by the weakness of the Womb it self by reason of which it doth neither concoct wel nor wel expel its Excrements the which is either from often abortions and hard labour Or from too great a Flux of the Courses dissipating its heat Or from the suppression of them choaking up the same heat The CURE requires the bringing forth of the water and strengthing of the Womb having respect to the Causes Hartman commends Antimonial Pills The Difference is taken from the Part. One is when the water is collected in its Cavity in which the Orifice of the womb if it be touched is found shut up the Tumor is great and a certain waving is perceived if it follow conception that yellowish and stinking water within two months for the most part kils the Young one which is then cast forth with it Another is when the water resides in its substance and little bladders growing to it in which its Orifice being handled it appears contracted Greater pains arise the Cure becomes more difficult Article VII Of the falling down of the womb The falling down of the womb is a hanging forth of the same out of the belly proceeding from a solution of the unity of its ligaments The general Signs are a pain of the Loyns of the lower part of the belly of the Privities of the Os Sacrum to which the Womb is fastened and this at the beginning In process of time the pain is mitigated it being accustomary and there is a troublesome sence only of a weight and a hindrance in walking The special Signs vary according to the nature of a greater or lesser falling down In that the Womb descends to the middle of the Hips and Knees presents a Tumor like a Goose Egg in whose lower part there appears a hollowness in this a Tumor is perceived as it were of a skin retcht and as it were a weight of a great Egg about the Privities The CAUSE is whatsoever can dissolve the unity of the ligaments see in that which follows The CURE is difficult if it be great if it afflict those of ful Age if a Feaver convulsion or other Symptomes happen Nay if it be 't is deadly in those that lie in and somtimes by the alteration of the ambient Air or violent repelling of it 't is corrupted and taken with a gangreen It consists 1. In replacing of the Womb it self where note first of al the Inflamation must be stopt if there be any If a Tumor imprest by the cold Air on the Womb do urge the part must first be fomented with a Decoction of Mallows Marsh-mallows chamemel flowers Bay berries c. If there be wind or Excrements in the Guts we must premise a Clyster Before it is replaced it must be fomented sprinkled anoynted with things Agglutinative and astringent A suffumigation of the Skin of a Salt Eele dryed in the Smoak and poudered is commended Seek for an astringent bath out of Guilielmus Rondeletius his Cures The manner of putting it up see in Authors 2. In retaining of it and then the Woman must be placed in her bed bending downward with her Thighes extended so that one lie upon the other the belly must be kept neither slow to stool least in casting forth the ordure the Womb be forced down nor loose least the Membranes binding the Womb be relaxt Agglutinative and astringent Medicines must be applyed To this end serve Pessaries Fomentations injections by a Syringe and other things But have a care you stop not the Courses with them The Differences are taken from the Causes I. One is by reason of the Laxness of the ligaments of which it hath four which is known by this that 't is generated by degrees and afflicts with less pain It ariseth either from hard labor burthensome carrying of the young or from the afflux of a Flegmatick matter 'T is Cured by emptying of the Humors by the use of things astringent strengthning as are the Decoction of Oake moss Harts horn Bay Leaves an astringent Plaister A Loadstone prepared and applyed Another is from the breaking of the Ligaments which is known by this that the evil ariseth of a suddain afflicts with greater pain somtimes is followed with a flux of blood It ariseth either from the Heavy carriage of the young one or from hard labor or from abortion or from a violent drawing forth of the Secundine Another from the Corrosion of the ligaments and then there are signs of an Ulcer some matter flows out Article VIII Of the ascent of the womb its wounds and Vlcers That the womb may ascend out of its place towards the upper Parts as high as the stomach is the Opinion of some but false For. 1. 'T is so tied with four ligaments that it cannot be moved upwards at al. 2. Although it have a natural motion by fibres yet because 't is tied to the right Gut and Privites if it had an Animal motion those parts also must necessarily be distended 3. Although it swel with wind as was said formerly yet it follows not from thence that 't is moved upwards But that Women somtimes do feel a body and a Globe as it were running about the Region of the Navel we must say 't is rather the Testicles and that blind Vessel than the Womb it self The Cause of this shal be explained in the suffocation of the Womb. II. Concerning wounds of the womb note 1. That the Womb is hardly wounded
because 't is on every side guarded with bones 2. If it be wounded 't is known by the Situation pain and matter that flows forth 3. That it may be cured as appears by the Caesarean birth but 't is dangerous by reason of the conâ—â—â—t of the part with other members 4. Or it happens on the bottome of the womb and then that pain is less and easier Cured or on the Neck and then the pain is greater and harder to be Cured because that is more membranous and continually abounds with moisture III. Concerning Vlcers we meet with nothing of worth which hath not been touched on formerly unless perhaps we may add that it doth somtimes so Putrefie that it must be cut out and fals away the woman surviving For consolidation do serve the Balsam of sulphur and the Plaister of the same concerning which see Hartmans Chymiatry in the Chapter of a Consumption Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title XII Of the Symptomes of the Womb. Chap. 1. Of the Common symptomes Article I. Of the weakness of the womb THe Symptomes of the Womb are either common to Women in al states or are either more familiar to those that live out of wedlock or proper to the married Those common are a weakness of the womb Pain a stoppage of the Courses a dropping of them too great a flux a difficulty of them a discolouring an inordinate flux a womans flux a gonorrhea A weakness of the womb is a sluggishness or defect of the same in performing its actions induced by the fault of a distemper occult qualities and the native heat The SIGNS are a languishing desire of venery an inordinate flux of the Courses when they are at hand a pain in the loyns and pecten little or no pleasure in copulation often abortions a breaking forth of wind from the womb For the actions of the womb are a desire of Venery a voiding of menstruous blood at due times the ejection of seed in the act of Venery and the retaining of that received from the man a keeping of the young one conceived to the due time and the exclusion of it when 't is perfect into the world The Nature of the Causes shal be explained in the Differences The Cure must be directed against the Causes of which there The Differences are taken from the Causes One is from the distemper of the womb which if it be Cold the womb cannot perfect a mean quantity of nourishment therefore it heaps not up many Excrements If moist neither the blood nor seed nor young one are rightly conteined See the Cure above Another is from occult qualities which the womb hath is apparent from hence because it hath a singular Sympathy and antipathy with divers things desires mans seed is delighted with sweet things c. And then the affect riseth from no evident Cause There is found no excess of moisture or coldness In the cure Medicines must be applyed that are proper by their whol substance Another is from the innate heat either choaked or dissipated and then the affect is dangerous because the heat is difficulty renewed In the Cure we must act with restauratives as are Cinnamon Nut-Megs the Species Diaxyloaloes Aromaticum Rosatum c. Article II. Of the Pain of the womb A Pain of the womb is a sad sense of the same proceeding from a solution of continuity induced by its Causes There is no need of Signs when the Woman her self makes known the pain It affects both Women that are free and great with Child and past labour It torments as pains of the collick do in the lower belly whenas the ligaments of the Womb are carried to the Hips and Loynes so far also it extends it self The Cause is whatsoever can dissolve continuity The Cure respect 1. The mitigation of pain by anodynes 2. The removal of the Cause of which in the Differences The Differences are taken from the Causes I. One is from corrosion which cheifly happens in Ulcers the Womans flux vitious Courses c. It offends most of al the Neck of the Womb. The Cure must be directed against those affects Another from distention which is caused 1. By a clot of Blood sticking in the Cavity of the Womb and then a plentiful flux of Blood preceded from the womb the pain is fixt and is perceived most of al about the Orifice of the womb when as Nature by the continual endeavoring to expel it doth draw the right Gut and bladder into consent 't is joyned with a tenasmus and often pissing In the Cure we must respect the dissolving of the clot for which Treacle with Wine is commended and the emptying of it and if hath stayed long there the Malignity of it 2. By Menstruous blood when either the Vessels are not wide enough or that is too thick which also may happen from cold drink especially if the woman were hot after exercise and then the Causes went before which occasioned it there are signs of the Courses supprest or not flowing rightly The cure must be directed to the same 3. By vitious Humors sticking in the Cavity or Vessels of the womb and then we must act with emptyers and preparatives 4. By wind which ariseth from the boyling of the vitious Humors Which somtimes copulation causeth And then emptying must be ordered we must act with things that discuss wind of which in the Chollick 5. by an inflamation of the womb of which formerly 6. By seed retained and corrupted and then we must look to the suffocation of the womb Article III. Of the suppression of the Courses A suppression of the Courses is a retention of the menstruous blood by reason of the streitness of the passages or the fault of the blood The SIGNS are afforded from the relation of the woman her self but if they wil not confess In Virgins 't is known by this that the blood stopt doth wander up and down in the Veins and cause obstructions changes the colour of the body induceth a Feaver c. In women that 't is carried to the womb and infers Diseases of the womb 'T is distinguisht from the retention in childing because they with Child are little changed in the affections of their mind they retaine the Native color of their body they find the Symptomes dayly more mild they perceive the motion and situation of the infant the third month They have the mouth of their womb shut up and hard The CAUSES are a streightness of the veins and the fault of the blood of which in the differences shal be treated more at large The Cure must be hastened because that suppression doth produce many diseases as a feaver a leucophlegmatick a dropsie vomiting of blood c. 'T is difficult if it be of long continuance if it hath exceeded the sixth month for the most part 't
is thought incurable especially if it happen from a perversion of the neck of the womb for then the woman swouneth and vomits flegme the parts of the belly and pecten are pained the back bone and a feaver happens The excrements of the belly and bladder are supprest a weariness possesses the whole body by reason of the diffusion of the blood retained through the whole it most of al detains the thighs and hips by reason of the consent of the veins of these parts with the veins of the womb 'T is of good success if it be emptied through other places so it be not through the bladder because the blood doth clot most of al in that It respects 1. Bleeding for the blood which stops every month is heaped up in the body and sticking in the veins it must be recalled to the wombe Concerning this note a vein must be opened in the ancle because so both the quantity of the blood is diminisht and its motion to the wombe is procured If it must be repeated one day blood must be taken from one leg the next from the other That which is ordered from emptying ought to be opened at the beginning that which is opened in the ham or ancle after purging must be done three four or five dayes before the time of the accustomary evacuation Cupping-glasses which are deputies of bleeding must first of al be applied to the remoter places viz. the thighs then to the neerer to wit the hips Hither belong ligatures frictions the time of the courses being at hand after emptying of the whole body 2. The preparation of the matter and for this serves in flegmatick bodies the decoction of guajacum with ditander of caudy without provoking of sweat 3. Emptying which must be ordered at times that the matter may be emptyed by little and little Amongst evacuating medicines are commended agarick Galens hiera with castor aloes with the juice of savin Pils made of aloe socotorina three drams the best myrrh one scruple extract of callamus aromaticus carduus benedictus saffron of each three grains of thâ— rootes of gentian dittander each five grainâ— with syrup of bay berries and given one scrâ—ple weight in the evening before supper 4. Opening obstructions by those things that move the courses the cheife are inwardly given the decoction of rosemary with the flower of wal flower in wine Zacutus his chalybeat wine i. 9. c. 10. his water in the same place Pennyroial water twice distiled with cinnamon water The extract of Zedoary angelica castor The faecula of bryony the earth which is found in iron mines given in the same quantity order and forme as steel is The spirit of tartar Hartmans lozinges of Crocus martis Outwardly Zacutus his oyntment of steel l. 3. histor p. 52. the fat of an eele of a snake with the distilled oyl of savin A suffumigation of the refuse of Regulus antimonii of which in Hartman 5. A discussion of the remainders by sweaters viz. with a drauft either of Qercetans milium solis in his pharmaco restituta Or with a chalybeate decoction with spirit of tartar the juice of elder c. The Differences are fetcht from the Causes I. One is from the obstruction of the veins of the womb which is caused by cold and thick blood viscous and thick humors mixt with the blood proceeding either from a hot distemper of the womb which dissipates the subtil and sharp humors leaves the thick and earthy parts or from a cold constitution of the liver and spleen or from the like nourishments especially if in the time of the menstruous flux they be dissipated when the force of the blood is greater and then the time of the purgation being at hand pains are felt in the loins and neighboring parts if any thing flows forth 't is mucous somwhat white and somwhat black there is a dulness in the whole body with a white colour a rare pulse and crude urines Let the Cure be fetcht from what hath been said before Another from compression which is either from external causes as the northern air staying in cold water and then the relation of the patient wil unfould it The blood must be drawne to the lower parts by frictions bandages baths Or from internal causes to wit the fat of the womb or tumors of the neighboring parts and then the tumor must be taken away with convenient remedies Things that move the courses have no place here Another is from a constipation whiles the substance of the womb it self is hard which is either from the first birth and then 't is not easily taken away or after the birth from a cold and dry distemper of which formerly Another from a growing together which is caused 1. By a skar left after an ulcer 2. By flesh or a membrain growing over the vessels of the womb 3. By often abortion after which those veins to which the secundine adheres doe so grow together that afterwards they cannot be opened II. One is from a defect of blood which either is not generated either by reason of external causes viz. hunger too much evacuation issues c. or of internal as a cold constution of the principal parts old age feavers Or 't is converted to other uses as before ripe age into the augmentation of the body in women with childe to the nourishment of the young one in those that give suck into milk in fat folkes into fat Or 't is wasted either by reason of external causes to wit exercise too much labour frights sadness baths hot houses which by provoking plentious sweats do both carry the blood to the circumference of the body and wast its serous part which gives fluxibility to it or internal as are hot and dry diseases too great evacuations made by other parts c. Another from the dryness of the blood which is caused by adustion when in the winter time women put light coales under their lower belly to drive away the cold and then we must act with coolers and moistners Article IV. Of a dropping and difficulty of the courses The dropping of the courses is a breaking forth of the menstruous blood either for many dayes or continually yet made by drops There is no need of Signs when the fault is made known by the relation of the woman The Cause consists either in thing external or in the blood or in the vessels The Cure follows the Nature of the Causes The Difference is taken from the causes One is from external causes exercise hot medicines and other things that diffuse the blood and open the passages and then there is a greater pouring forth of blood Another is from the faeculency of the blood the waies not beng open enough and then it happens with pain in the cure opening a vein in the arm takes place Purging by little and little ought to be urged Another is from the weakness of the retentive faculty there comming together a plenty of blood a
tast and smel of chalk and sometimes breeds little animals Pit-water which because it mounts not above the Earth it is thick and sticks long in the bowells Observe that sweet water springs out of marley grounds cold water out of stoney and thin muddy water out of gravelly places The best and most hopeful comes from ground that has red stones wel tasted water comes from sandy ground cold water proceeds from the bottom of mountaines and from stony and flinty places That water is best which is hot in the winter cold in the Summer 4. Fountain water which if it come out of a Rock and runs towards the North and is not illustrated by the Sun it is unhealthful if it issue directly against the Summer-Sun-rise t is wholsom if it run in a flat and plain ground because the Sun exhales the most subtil parts and leaves the earthy behind t is not so wholsom if it run through leaden pipes 't is hurtful if through Sand and pibbies and draws no dirt with it 't is commendable 5. River water which for the most part is mixed as rising from many springs meeting together and from snow dissolved in the mountains and rain water to boot It s crudity is corrected by the beames of the Sun which play upon it while it runs such a long tract of ground It varies according to the variety of Rivers which flow into it and the Sundery lands it runs through 6. Lake and Pool water which is the worst of al others for it is thick and crude and many times pestilential It offends the Stomach obstructs the bowells corrupts the Humors and many time is the Cause of putrid Feavers 7. The best Water is that which is transparent void of all strange tast or smel is soon cooled soon heated is light and in which flesh and fruits are soonest boyled II. The Correction of waters is performed by boyling by which not only the Crudity and Coldness is amended but also the earthy and bad parts are separated which when the water cooles settle to the bottom See of this subject Pamphilus Herilacus touching the qualities of water and wine II. There are certain differences of wines I. In respect to the place where they grow there is 1. Vinum Falernum which is of an excellent juice 2. Wine of Crete or Malmsey which eases a cold stomach and cures the Colick 3. French wines 4. Rhenish wines which are thin most fit to strengthen the Heart and restore the forces of the Body 5. Hungarian wine 6. Spanish wine c. II. In respect of its substance wine is 1. Thin which easily penetrates suddenly restores strength opens the passages provokes sweat and urine but nourishes little 2. Thick wine such as is the black red sweet and harsh which nourishes most but it sticks long in the body heates the same and dries it and sometimes breeds obstructions II. In respect of color wine is 1. White which heates less then the yellow and Gold-coloured if besides the color it be withal thin of Substance 2. The Gold-colored which is next to white and if it be thin withal is excellent 3. Red which moderately heates breeds good blood and troubles not the head if it be thick withal it bastens obstructions of the spleen and liver 4. Pallet wine is much of the same nature 5. Black wine which is of a thicker substance for the most part sweet very nourishing and breeds thick blood While it sticks long in the bowells it obstructs them and fills the head III. In respect of Tast 1. There is Sweet wine which nourishes wel is pleasing to the palate bowels lungs and joints not disturbs the Head but because it is thick it breeds obstructions and is easily turned into cholor 2. Harsh wine which has a weaker heat staies longer in the belly and pierces to the passages of urine is good for fluxions but because it hinders spittle it is not good for diseases of the Chest 3. The midling sort which is best of al. IV. In respect of smel it is 1. Fragrant which restores strength by its very smel encreases the spirit strengthens al the faculties 'T is good for old people save that it fills the head and weakens the nerves 2. That which has no smel which is neither so greedily drawn by the stomach or affords matter so fit to engender spirits 3. That which has a strange smel which is hurtful V. In respect of Age it is 1. Must which by its windyness breeds the cholick and hinders the voidancie of Urine 2. New wine which yet retaines the sweetness of must is excrementitious not easily distributed into the body and breeds fluctuations therein 3. Old wine which works upon the nerves and troubles the brain 4. Middle-ag'd which is best for al Intents and purposes In which nevertheless there is great variety Some beare their Age others soon loose their strength III. Beer is in use among the Northern Nations where little or no wine growes 'T is made of wheat barly rie oates either simple or mixed together and is preserved with Hops It has also sundry differences I. From the matter 1. Some is made of wheat which nourishes heats and moistens more than that of Barley but it breeds a more clammy juice causes obstructions provokes urine and moves the belly to stoole 2. Barly-malt beer which heats less by reason of the barly but because it has much hops it becomes not a little heating affords more thin juyce and is more diuretick 3. Oaten-drink which is of the same quality with oats 4. Rie-beer which nourishes very much but breeds obstructions and stops the Urine Hereunto belong the differences of beer from the waters it is made of viz. poole river pit water c. which also varie the faculties and strength of beere II. From the Age it is 1. New which is unwholsome especially if it be troubled for it stops the passages and is bad for such as have the stone 2. Welpurged and ripened which is more wholsome III. In respect of the place where 't is made we have 1. Poland bâ—er which is made for the most part of wheat nourishes wel and Heates moderately 2. Dantzick beer which is like a syrup nourishes such as are used to it very wel in others it causes thirst 3. Hambrough beer which is commonly made of wheat is of good tast makes a man have a fresh colour expels the urine if it be taken too largely it makes a man have a red face 4. Lubicks Beer which is too strong makes the Head heavy and hurts a mans health 5. Goslar beer which at the first tasting seems sweet and soon after imprints a winy tast upon the tongue It is healthful 6. Embden beer which is subtile clear and piercing at first bitterish afterwards sharp it drives forth urine and choler and therefore 't is commended in the Jaundice and in Fevers 7. Brunswick beer called Mum differs not much from the former save that it is thick
and more windy 8. Rostock beer which quenches thirst expells the Urine nourishes little and is good in the summer time 9. Servestan beer which hangs long in the hypochondria and sometimes causes sharpness of Urine 10. Newburg beer in Thuringia which is wel boyled and nourishes if it be taken too plentifully it causes dimness of sight some have grown blind by too much use thereof 11. Erfurt beer which conduces very much to health 12. Torgave beer which breeds good blood and by its aromatical tast strengthens the principle members 13. Wittenberg beer which is like the Rheue beer being ill-boyled 14. Rauschenburge beer which is commended against the stone 15. Paderborn beer which breeds thick blood 16. Beer of Brabant Gelder and Zutphen which breeds the scurvy 17. Flanders-beer which is very commendable especially their double beer 18. English beer which makes the drinkers fat 19. The Rhemsh beer which is for the most part base and hurtful 20. Colen beer which is better than that of Brabant I pass over the differences taken from the vessels which also change the faculties They are kept sometimes in pitched sometimes in unpitched vessells Mead and Metheglin do for the most part Heat more than wine especially if spices be added thereunto But it easily turns to choler because of the Honey Chap. 2. Of non-natural things done by a Man NOn-natural things which are done are passions of the Mind Motion and rest of the Body sleepe and waking which are of great moment towards the preservation or violation of Health Touching affections of the Mind and their Action upon the Body these things are cheifly to be observed 1. That Moderate affections preserve health and make no change in the Body 2. Such as pass their bounds oft times disorder the body and sometimes bring sudden Death 3. If you consider the good Affections or passions 1. Love if it exceed because it vehemently inflames the spirits in the Heart endeavouring to draw the thing beloved to it self and therfore sending the spirits forth to meet it does often times cause palpitation of the Heart sometimes madness fainting c. 2. Cheerfulness if it be moderate recreates the Heart and vital spirits if it be sudden and in too great a quantity it so dissipates the spirits which the Heart therein sends into the outward members because of its over great dilatation that it oftentimes brings death 3. In Evil Affections or Passions 1. Sadness by little and little dissolves the spirits cooles and dries the body spoiles digestion causes watching and breeds melancholy diseases 2. Fear dissolves the strength of the Body by reason of the sudden recourse of the Heat Blood and spirits into the outward parts causes a smal pulse with refrigeration of the external parts and is sometimes the cause of sudden gray haires even in young Men. 3. Anger in which the Spirits and Blood do as it were boile in the Heart and are violently moved from the inner to the outward parts it agitates the spirits and Humors Heats the whol body and breeds Fevers Tremblings of the joints and Palpitations of the Heart do often invade angery persons Also women are thereby brought into danger of Abortion Anger hardly ever kild any body because the Spirits are therein freely and forcibly moved if any died upon occasion of anger of necessity there was some other natural disorder in the body II. That Motion is necessary for Health is hence apparent in that by encreasing natural Heat it furthers Nutrition by moving and agitateing the Spirits it discusses vapors and excrements it makes the body after a sort hardy by adding solidity to the parts by their mutual Attrition Now according to its Differences it works diversly upon the Body of Man The best is that which exercises al parts of the body alike The next to that is whereby al parts are moved but not equally the lightest of al is that which exercises one only part I. Two much Motion exhausts the spirits and solid parts cooles the whole body dissolves the strength of the Muscles Nerves and Ligaments and hurts the Eye-sight II. Swift motion renders the body thin and compacted III. Slow motion rarifies and encreases the Flesh IV. Vehement motion makes the body hard lively but leane withal V. Continued and equable Motion because the members are weakened thereby as being much it wearies the more VI. Vnequal motion because it is parted with spaces of rest wearies less VII Distinguished and ordinate motion brings less wearyness since Interruption brings rest and the rest is cause of less wearyness VIII In hot places it burns more in moist places it moistens because the bodies being rarified by exercise are most readily disposed to receive al the qualitie of the Air and Places IX Among motions caused by a mans self I. Leaping without Intermission stirs up natural heat but hurts the Head by concussion and the Breast by compression while the back is bowed Leaping on high is good for the Hips but bad for the breast Downwards to leap clenses the Head from superfluities and strengthens the things With Springing it is good for old Diseases of the Head and brings matter which tends upwards downe into the lower parts 2. Running if it be Vehement is good for Fat and moist bodies but it is bad for such as are troubled with any kind of Head-ach If Running be moderate it excellently warms the Body excites appetite and though at first it move defluxions yet it afterwards in tract of time stops them A long course fore right by little and little performed diffuses the flesh but renders the bodies thicker Backward if it be gentle it is good for the Head Eyes stomach Loins A Circular motion distends the flesh and belly and very much offends the Head uphil t is bad for the Breast and thighs Downhil it very much affects the head it shakes the bowels troubles weake hips upon plain ground it does al that has been said The body being covered by moving sweat it moystens and heats the flesh but it makes the bodys il colored because the pure air does not come at them to clense the same The body being naked it draws out great plenty of sweat it brings away the humors in invisible exhalations and does more burne the body 3. To excercise ungirt by hurling a weight by reason of the vehement straining to throw the same the vehemency of the motion and bending of the muscles does make limbes to grow firme and purges them from excrements but this excercise must not be used by such as have weake Breasts and Kidneys 4. Darting is useful to get a good habit of Body and therefore Aesculapius and Apollo were thought to be the first Masters of darting 5. Moderate walking abroad continued without resting makes the body pure it helps defluxions and suppression of the courses Swift walking does heat much and abates the greatness of the flesh Slow walking is convenient for ancient and weake people because it
Humors are happily digested in the whol body the whol body and especially the Bowels are sweetly moistened and the body is made generally stronger cards are removed anger appeased and the mind made more peaceful immoderate Evacuations saving sweat are suppressed and especially sleep is good for Old people Contrarily Immoderate Sleep obscures the spirits and makes them sluggish and stupefies the mind and Memory and blunts the Edge of Natural heat by augmenting crude humors and stopping the Issue of such as are superfluous Also sleep which is taken after the body is any waies Emptied does dry and extenuate the same IV. Also Watchings are either moderate or Immoderate The former excite the spirits and render them more lively distribute the spirits and heat into al parts of the Body help the distribution of Aliment and further the Expulsion of Excrements But Immoderate watchings consume and dissipate the spirits especially the Animal and dry the whol body especially the brain encrease Choler sharpen and enflame the same and in conclusion the heat being dissipated they cause cold Diseases Chap 3. Of Non-Natural things Externally used NOn-Natural things Externally used are Bathes Oyntments Frictions and Garments I. Touching Bathes observe I. That they alter as much as the Aire it self but diversly according to the difference of Temperatures and there is in them more Artifice than in the Air. II. That they frequently and very much hurt Cheifly persons not used to them Plethorick persons such as are Cacochymical have Catarrhs are subject to Inflamations and Erycipelas III. That they are made either of Liquors as fresh water Medicinal Fountains Decoctions of Herbs Oyl milk Wine c. Or of Vapors or of some solid substance which is hot as sand Salt Pressings of Grapes IV. The Vapors of fresh water Heats first moistens relaxes afterwards Melt congealed liquors and procures sweat finally by long use it dries V. Fresh Water hot of it self Moistens but at the first it heates afterwards the hot Vapors breathing forth it cools attenuates and dries Luke-warm or such as is moderately warm Cools such as are over hot heates those that are overcold and withal Relaxes and used an indifferent time it fattens and digests the Excrements beneath the Skin and by long tarriance therein it resolves and discusses them wherefore to hot leane Natures and to such whose heat is biting it is good being tarried in an indifferent while also for Melancholick persons Hectical persons such as have dry Feavers and are thirsty also it chases away wearyness Mitigates pains is good for Diseases of the Skin Cold Water cooles but withal stops the passages makes the Skin hard and compact strengthens the whole Body recalls heat into the lower parts of the Body by which means it helps Concoction and is a good Remedy against hurts springing from external Causes if we use it moderately and rightly It is bad for such as grow use not good diet nor exercise or are inclined to crudâ—ties and stoppages and breed sharp vapors VIII Artificial Baths are to be judged of by their Ingredients IX Waters of Medicinal Wels do alter the parts according to their Quality so that the Sulphureous do dry heat and resolve the Nitrous do dry and clense c. See of them Fallopius Mercurialis and Baccius II. As for what concerns Anointings they were anciently used before and after bathing as is every where apparent in Galen But because they are now grown out of use I shal therefore say nothing of them See Galen in the second Book of the Faculties of simple Medicaments Chap. 2. and 4. Also in the seventh Book of his Method of Curing Chap. 6. and Mercurialis in the first Book and 8. Chapter of his Gymnasticks III. The effects of Friction or Rubbing are various according to the Differences thereof 1. Hard friction hardens the Body contracts the flesh and makes it compact 2. Soft Softens Loosens and dissolves the same 3. A middle Sort has an effect between both 4. Much Rubbing lessens the Flesh dissolves the same and Causes leanness 5. Little leavs it in the same Quantity it was in 6. Indifferent encreases the flesh 7. Morning friction is best used after the voidance of the common superfluities of the Body being useful for such as are dried and find a wearysomness upon them Evening Friction is good for wearyed dried persons and such as nourish not IV. Hippocrates treats of Garments where he speaks of the ambient Aire in the sixth Book of his Epidemicks I conceive best to place the consideration thereof among things externally applied to the body Al Garments in general do in some measure heat the body both by keeping off the cold Air and keeping in the steams of the body and introducing a true and genuine Heat The effect of Cloaths varies according to their Differences 1. Silk-Taffaties and Grogarans do heat and because they are soft and tender they soften 2. Plush and Velvet by how much they are deeper and richer so much the more they heat 3. A woolly garment heates and dries much 4. A Garment of Skin if ful of hairs is warmest of al other 5. A Scarlet garment cals forth the spirits and Humors with which it has Analogy from the Centre to the Circumference and therefore is accounted hot 6. A Perfumed Garment hurts an hot brain and breeds the Head-ach 7. A Linnen Garment whitened with Lime does bite the Skin and Causes an Itch. 8. An Hempen Garment is more dry than one of Linnen Chap. 4. Of Non-Natural things which are voided and retained NOn-Natural things which are voided and retained are both those which in the nourishment of the Body Nature retaines to restore the decaied substance thereof as also those parts which she separates and voids forth as unprofitable Touching them observe in general I. That Excrements do vary according to the Concoctions Some are simply such as Urin internal Vapors fumes Dandrifs Sweate Moisture Ichor Tears Flegm in the Eyes Menstrual blood Hemorrhoid-blood spittle Snivel Pose Droppings of the Nose Eare-Wax Dung some are for the sake of Children as Miske Seed Mothers-blood II. That they are necessary in point of health which continues in good case if they be conveniently voided but is prejudiced if they be either retained or unseasonably voided forth Particularly three of them are most confiderable Viz. Excrements of the Belly Vrin and Venereal I. The Excrements of the belly if they are often voided and carry with them the Vitious Humors and so lighten the Body they confirme health if too frequently and too long the body is defrauded of necessary Aliment and begins to pine away the forces of the body are weakened and many times the guts are as it were shaved If not in due time they hinder digestion by putrid vapors hurt a weak head and breed molestation to other parts of the Body II. The Vrine if too long kept in does not only burthen the bladder and neighboring parts but oftentimes does so stretch the same
that it cannot afterwards contract it self And in case the Reins do not draw unto themselves the Wheyish moisture remains mixed with the bood and being spread al over the Body it affords matter for the Dropsie and Cachexy III. Seed unseasonably retained causes heavyness of the whol body and if it be corrupted it Causes most greivous accidents being voided in too great a Quantity it dissipates the natural heat weekens the whole Body heaps up crudities hurts the Nerves brings the Palsie and weakness of the mind Title II. Of the Method of preserving Health Chap. I. Of preservation of Health in general THe Method of preserving Health is a Doctrine which prescribes rules how to use the Non-Natural things in such manner as to preserve the body in health The End thereof is therefore the Conservation of Health which consists in Preservation of the temper of the whol body and a I its parts and of their specifical proprieties and occult qualities and of the due shape of the Organick parts and of that unity which is common to hoth Those Precepts are either most General General or Special I. The most General are as it were common principles by which convenient diet is governed and they are these following I. That whatever is according to Nature must be preserved II. That we must alwaies aime at a Mediocrity For too much of any thing is an Enemy to nature which Phocylides excellently expressed Eate and drink and discourse with moderation Moderation is the best thing in the world and Excess is destructive III. That sudden changes are to be avoided For much at once or suddenly to empty or fil to heat or cool or any other waies to alter the body is dangerous as Hippocrates has it in his second book Aphorisme 51. IV. We must not lightly alter Custom For Custom is a new nature and things to which we have been long time accustomed though bad are not so troublesome as those to which we have not been used as Hippocrates in his 50. Aphorisme of the second Book instructs us Now after what manner Custome is a new Nature and what power it has over our actions natural vital and animal and over the parts of our bodies see in Renatus Moreau upon the 15. Chapter of Schola Salerni p. 215. and Senertus in his Paralipomena page 48. V. Bodies perfectly in health must be cherished with things like such as recede from the exact state of Health ought by little and little modrately to be reduced to a contrary condition VI. We must so far be careful to preserve occult proprieties as that the temper of the body may not be hurt VII The inbred Heat of al the parts must be preserved with things moderately hot and moderately astringent II. The General precepts concerning the nonnatural things wil be delivered best according to their order in which we reckoned them in the foregoing Title I. The Aire therefore 1. Must be chosen temperate pure not stinking free as being most healthful and that aire must be avoided which is ful of corrupt exhalations 2. We must by al means avoidâ—â—â—hopping out of an hot aire into a cold or 〈◊〉 â—f a cold into an hot 3. A cold aire must be altered by a fire by hangings by a stove an hot with cold water powred out of one vessel into another or sprinkled upon the floore by strewing of roses water lillyes boughs of willow and Agnus Castus A moist with a bright fire and perfumes a drie by sprinkling of water and with moistning herbs a pestilential with burning aromatick woods and franckincense 4. Those that have leisure must walk out into the fields to enjoy the open aire 5. In the the morning 't is good to walk about the mountaines in the evening about the fountaines and rivers both because the Aire is in those parts more pure and bright and about the fountaines and rivers 't is lightened and clarified by the fetting Sun also because in the morning we are not very hot by reason of the foregoing night in the Evening in regard of the heat of the Midday sun we may be delighted with the coole aire of the waters II. Touching meat we must observe some things in general and some in special I. In general observe 1. That we must choose such meats as are most temperate and familiar to our Natures such as wel bak't bread flesh of beasts and such things as they afford for food fishes c. Of bread the best is that which is wel leavened ful of eyes wel kneaded and wel baked in an oven not too hot seasned indifferently with salt and made of the best wheate 2. Also we must use a most simple diet and of several sorts to avoid satiety provided that it be not at the same meale of different substances and different qualities but of the same nature that it may be digested with the same heat in one and the same space of time and that we eat not over much 3. We must have a special Eye to custom by the power whereof some have fed on poyson without hurt 4. The worser but more pleasing meat and drink is to be preferred before that which is better and not so delightful For the Stomach greedily artracts straitly embraces and happily digests such kind of meats II. Particularly we must have an Eye to the Quantity Choyce Sawces Time and Order of which I shal treat when I handle the diet of persons of a middle Age. III. Of the rest there is nothing to be said in general only this may be added that we must according to the advice of Celsus take heed lest in health we consume that which should assist us in sickness It is better daily to use moderate exercise to prevent the collection of superfluours excrements than to use purgations or other medicaments Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Chap. 2. Of preservation of Health in Special and first of the good Habit. Article 1. Of preserving the Health of wel habited persons Point 1. Of preserving the Health of Infants Children and youths SO much shal suffice to have said of preservation of Health in general let us now see how health is to be preserved in several sorts of people And this preservation is either of wel constituted or Intemperate persons Wel habited or wel constituted persons are either Infants both such as are in the womb and such as are born or Children or Youth or Men of Middle Age or Old Men. I. Children in the Womb wil fare wel if the woman with child shal do some things and avoid other some Among things to be avoided are 1. Aire which is moist and southern the stink of candles put out and which arises from Castoreum brimstone and such like things 2. Also the smell of strong herbs as rue penneroial Mint and of sweet smelling
or they act after the manner of antecedent causes which continue hidden dispositions in the body which a disease may follow upon which nevertheless are not conjoined therewith only are defined by power of acting and are only found in diseases joined with matter finally because the internal as related to the disease may be both antecedent and conjunct causes they have not recourse with them II. Next which adhere to the diseases themselves in the body of man so that suppose the causes you must supose the diseases take away the causes you remove the diseases Hence they are termed continent and conjunct causes III. Per se of or by themselves by whose power the disease doth exist and by accident which cause the same by the Interposition of some other thing IIII. Privative which act by absence and Positive which work by their presence V. Comon and Proper VI. Finally external and internal of which we shal treat hereafter IIII. The differences of diseases are either Essential and primary of which and their cure we shal treat in the fift book or Acidental which are taken from the Number Magnitude Duration Manner Event Order Subject Causes Seasons of the yeare and Place For I. In respect of Number a disease is either 1. One which possesses but one part or many parts but without any Interruption which is either simple which is joyned with no other disease and hath the simple nature of one only sort or compounded which consists of many diseases concurring in the same part whether they be of the same kind or not and in Case it be joined with the Cause or some grievous symptom t is termed Comitatus as that Solitary which has neither the cause nor any grievous symptom joined with it 2. Many one of which is not in the same part which is possest by another and these either hurt a common action and are called Complicati or Impliciti or one contributes somewhat to the generation of another and they are termed Connexi 3. By Sympathy which falls out when either a part receives some humor or vapor from another place or when it is forced to receive a matter of which it ought to be free or when the spirit a necessary Instrument to the souls actions is hindred of its influxe or when matter necessary to the action is denied this happens either by reason of the sympathy of the parts which is either of the kind or of continuity by the nerves and membranes of which Senertus treats elegantly in the 39. page of his Paralipomena or of one work or of neighbourhood or by reason of their strength and weakness hence comes either a Diadosis of the Humor passing from a noble to an ignoble part or a Metastasis from an ignoble to a noble 4. Disjoned which being fixed in disjoined parts do neither hurt the same action nor confer any thing to the mutual generation one of another II. In respect of Magnitude Diseases are 1. Smal which hurt the Action less than those sort of diseases are commonly wont to do or stick in the more Ignoble parts 2. Great which either hurt a Constitution and part very necessary to life or Goe very far from the natural state or have some bad quality annexed or they deject some faculty by hurt of which the life is endangered or they take up a large place III. In respect of Duration diseases are 1. Long which move slowly 2. Short which moves quick 3. Continentes which are alwaies moved with one and the same motion til they are quite ended 4. Continui which continually afflict but are heightned and abated at certaine intervals of time 5. Intermittentes which have periods and Fits and therein their several Modes and figures 6. Acute which are terminated on the fourteenth day peracuti on the seventh day Perperacuti on the fourth day Acuti ex decidentia which are terminated on the forryeth day 7. Critical which are finished by some great mutation by evacuation or translation 8. Not critical which are ended by diminishing peece meale IIII. In respect of the Manners or Conditions they are 1. Benigni gentle wel affacted having no greivous symptom besides nature 2. Maligni malignant which have somewhat of an occult pravity 3. Pestilential which come by Intection V. In respect of the event they are 1. Healthy which end to health 2. Doubtful of which many are saved and many die 3. Deadly which kil alwaies or for the most part either because they destroy that action by which life consists or proceed from matter which wil not admit Coction or because their Focus is so far of that medicaments cannot reach so far without loosening their strength VI. In respect of their order they are 1. Ordinate which keep their Mode or Figure 2. Erratick which neglect the same 3. Relapsative which when they are thought to be quite finished returne againe VII In respect of their subject they are 1. Vniversal which afflict the whole Body 2 Particular which molest one or more parts 3. Cognati which are suitable to the temperament constitution of Body Age Season of yeare c. 4. Minus cogniti less of kin which are contrary thereunto they are of Men Women Infants Boyes Young Men Old men VIII In respect of the Causes they are 1. Exquisite or legitimate which spring from one simple Cause 2. Spurious or bastard which proceed from mixt humors 3. Haereditory which spring from fault of the seed or mothers blood 4 Conjenit which happen from the first original through fault of right shaping though the Parents had not the same disease 5 Adventitious which come by some accident 6 Fientes which though produced cannot exist without the matter continue 7 Facti which abide the causes being removed IX In respect of the time of the yeare they are Spring sickness Summer sickness Autumn sickness and Winter sickness X. In respect of place they are 1. Sporadick which being of different sorts do assault sundry persons at the same time and in the same place 2. Common or Pandemial which either are never but in one Country only or which somtimes in one somtimes in many places afflicts many together 3. Epidemii Epidemick or vulgar which at some certain time now in some one Country other whiles in many do infest many folks at the same time and they are for the most part pestilential Chap. 2. Of the Diagnostick Signs of a Disease THe Diagnostick Signs of a Disease do respect 1. The Disease in it self 2. Its times 3. The Parts affected 4. The Differences of the Disease 5. And lastly all these together And they are either common to many and divers persons or proper to one Disease which are either inseparable or proper and inseparable together or Pathognomonick and Essential to the Disease and recurrent therewith or Assident and supervenient I. A Disease in it self is known 1. From things Essentially inherent in External Diseases most easily without help of any other signs in internals
the nature of the disease if the patient beare it not wel It is bad if it happen before the state nature being provoked by malignity or plenty of matter if it were foreshewen to be such in the Indicatory day howbeit many times it comes suddenly if other things are present contrary to the best kind of Crisis Where observe 1. Oft times in a bad Crisis the patient seems to be better yet presently after he fals into a bad condition because the signs of amendment were not wel grounded 2. Somtimes in deadly sicknesses the patient being strong for one bad and simply deadly Crisis many evil imperfect ones happen in which unstable rudiments of Coction appeare before the patient come to die 3. The Prognostications of the Crisis in reference to death are unstable VI. The times of the suture Crisis are knowen 1. By the signs of Coction and crudity which must necessarily appeare upon some Indicatory or decretory day The crisis wil happen upon the fourth day If a signe therof appear on the first day or on the seventh day if the signe be on the fourth 2. By such signs as the idea magnitude and manners of the disease afford of which we spake before 3 By the signs of the times of diseases for a perfect Crisis happens not before the state but the imperfect Crisis does the deadly crisis happens also in the beginning or augment 4. By the critical signs which you had before Title II. Of The Causes of Diseases Chap. 1. Of the internal Causes in general ANother preternatural disorder which afflicts the Body of man is the cause of a disease and that is external or Internal But seeing the latter is an effect of the former or rather does therewith much conduce to produce the disease I shal therefore only define the internal The internal Cause of a disease is that which being bred and inherent in the Body of Man does preternaturally affect the same Touching which we are to consider its signs Causes and Differences I. The signs of causes are taken in general 1 From their proper tokens viz. tast colour and motion 2. From a concourse of common signs which are taken from the Antecedents and Consequents or evident causes and from the dispositions of the Body and Symptomes II. The Causes of the internal Cause are the things nonnatural Aire Meate Drink Motion and Rest Sleepe and watching Things voided and retained and Passions of the mind as far forth as they have power to disorder the Body And to that end time is requisite as also proportion between the agent and patient Fitness of the Body and Contact III. As for their differences the internal Causes are reduced to the Humors Winds and things totally besides nature Chap. 2. Of the Internal Causes of Diseases in special Article I. Touching Humors Point 1. Concerning Humor 's offending in Quantity or a Plethora so called THe first kind of internal Causes are the Humors and they are wont to offend in Quantity Quality Motion Place and in their whole substance Humors offending in Quantity are termed Plethora which is nothing else but a superabundance of Humors fit to nourish the Body which arise from their Causes Humors nourishing the body of man are contained in the mass of blood viz. Blood Cholor Flegm and Melancholly These being turned into the substance called cambium do nourish such parts as are of kin to themselves and communicate to them as much health as themselves are Masters of The signs of Plethora are wearyness because the blood not being ventilated settles into the lower parts Thick breathing after very smal Labor the Muscles of the Chest being laden with blood Swelling of the veins Distension of the Muscles carnosity of the Bodies habit Deep sleeps ruddyness of the face c. The Causes are good nourishment which affords good juice The Liver hot and moist which makes it Idleness evacuations stopt cutting off of some member Use of unwonted bathings after meate The Differences are I. One is Exquisite when either al the Humors are encreased keeping their due proportion and equality viz so that the blood be in a double proportion to flegm and flegm double to cholor or only blood alone or two or three of the rest exceed blood also not keeping its proportion 'T is knowen by the signs forementioned It arises also from the causes aforesaid Another is bastard when plenty of bad juices is joined with abundance of the natural humors 'T is knowen by the signs of a Plethora joined with those of a cacochimia and it arises from the causes of both II. One is termed ad vasa or in respect of the vessels which does not oppress the strength because it increases equally with the flesh blood but it distends the coates of the vessels by its plenty to which the things aforesaid agree Another ad visis when the Humors so encrease that they cannot be governed nor digested by the feeble strength of the Patient 'T is knowen hereby that the blood is not very good there is heaviness and Inequality of the pulse with signs of crudity and putrefaction beginning Point 2. Of Humors offending in Quality or Cacochymia so called CAcochymia is the presence of il humors in the Body of Man springing from their Causes It s Subject is the Body of Man 1 Both in respect of the Veins Arteries and Nerves as also of things without 2. Also in respect of the Region of the Belly which includes the stomach mesaraick veins hollow-part of the liver the spleen and sweetbread 3. And of the Venous region which containes the convex part of the Liver with the vena cava the greater Artery and al their branches between the Armpits and the Groines Also the Habit of the body which includes the muscles membranes Bones in a word the whol bulk of the body The signs are to be fetcht from the differences which follow Hereunto pertains the motion of certaine daies which is neither critick nor symptomatick but natural which is measured by certain daies and hours and is so punctual that it may contend with the Clocks The Causes the six non natural things of which we spake before 'T is variously dvided I. One sort is from Cholor which is a preternatural humor hot and drie preternatural I say because it is distinguished both from the more hot part of the Mass of Blood which is bred of the hotter and thinner part of chyle as also from natural excrementitious cholor which is collected in the Gal-bladder and colours the dung 'T is knowen by the amplitude of the veins by reason of Heat enwidening the same by depravation of the concoction through superfluity of heate defire of drink more then of meat vehement pulse sleep little or none leane habit yellow colour of the Body by its motion from third day to third day and that about noon It arises from an hot and dry constitution of body youths age watchings anger overgreat exercise of the Body meates
hot and dry fat and sweet 'T is divided 1. Into Vitelline resembling the yolke of an Egg which springs from yellow chollor adust and is thick by reason that the wheyish part is consumed by heat is sometimes voided by healthy persons turns to black chollor if it be burned 2. Into that which is termed porracea or Leeke coloured which is bred for the most part in the stomach of herbs apt to corrupt through crudity and oft times in the veines of vitelline choler 3. Into Aeruginous or verdigreise color'd choler which by a most intense Heat is bred in the Liver Veins and stomach 4. Isatidea or woad-colored choler which resembles woad being bred of the former more adust II. Another from Flegm which is a preternatural Humor cold and moist I cal it preternatural to distinguish it both from the colder part of the mass of blood as also from that flegm wherewith the stomach Guts Lungs Limbs and Brain are plastered 'T is known by the softness whitness of the body and by crudeness of the stools By Urine Crude White sometimes thin and somtimes thick by appetite of more than can be digested by its daily motion and that towards the Evening It arises from meats Crude and cold unseasonable drinking and cold distemper of the bowels From retaining of Excrements by idleness long sleep c. 'T is divided 1. Into Insipid or Tastless which follows crudity in the stomach through want of digestion and makes the body of a leaden color 2. Acid which is of the same nature with the former 3. Salt which arises from salt and wheyish moisture consists of parts both hot and cold causes thirst salt tasts in the mouth and gnawings 4. Vitrea like glass in substance and color it is extream cold and very clammy and raises most cruel gripeings when it is detained in the Body III. Another is from Melancholy whiâ—â— is a preternatural Humor cold and dry I say preternatural to difference it both from the colder and dryer part of the blood which is produced in the Spleen out of the colder and dryer part of Chyle drawn by the Ramus Splenicus of Vena porta before it enters into the Liver to nourish the Spleen and grosser parts as also from the natural excrementious sort which because it can by no means be turned into Aliment it is cast out of the Spleen partly by the Hemorrhoid veins partly by the splenick Arteries sometimes comes as far as the stomach c. 'T is known by the Leaden color and blacknes of the Urine Suppression of the Hemorhoids flatulency and belching overgreat appetite sadness silentness troublesome dreams leanness of the Body hardness and leaden color thereof and its motion from four to four about midnight It arises from meats of thick juice Beef Coleworts Fish upon which a drying not burning beat does work From Air cold and dry consuming the thinner parts especially if an hot and dry Summer went before by suppression of the Hemorrhoides or other melancholick evacuations c. 'T is divided into dilate or thin which is known by abundance of Urine and sweating anights Thick which is known by the obstructions of melancholick people Blackcholer which arises from heat burning the blood choler or melancholy juice And it is somtimes sharp somtimes tastless somtimes so austeer and harsh as to dissolve the flesh and being poured upon the ground to make the Earth ferment and work IV. Another from a serous Humor which is nothing but a thin and salt watry Humor affecting the body by its plenty and quality 'T is known by plenty of Urine and swear somtimes by a wandring pain because in regard of its thinness 't is easily carried up and down and it easily grows hot by an extraneous Heat By the sudden going away and coming again of diseases somtimes by swelling of the Belly c. It arises from meats moist and watry also from good meats and in persons recovering from sickness by reason of the wasting and languishing of the stomachs Heat By detention of serositness by reason of the expuisive â—â—â—â—ties weakness through obstruction of thâ— other bowels or constriction of the pores through external cold fault of the spleen c. To this Humor only of al others there is somtimes joyned a Colliquation or melting of the bodies substance which happens either in Famin through wasting of the natural Heat and turning the radical moisture and flesh into a vaporous humidity or in case of bad diet when the aliment not being surable nor familiar to the body is not assimilated into the substance thereof whence the former Colliquation follows 'T is divided into that which is mild which is nothing but the thinner part of the blood and sharp which has attain'd its saltness from adustion Point 3. Of Humors offending in their Motion Place and whole Substance I. Humors offending in Motion are the very same forasmuch as they flow into the parts either by means of Attraction or Transmission Those parts are either the weaker and ordained for no remarkable action either by Nature as the loose soft and thin woven or through some sickly constitution or the more liable which have some connexion with the part sending and waies wide and large by which they receive the Humors or lie under the sending part The Cause of the Motion is 1. Attraction through heat caused from without or through pain For the pained part grows hot by plenty of spirits sent to it Nature endeavouring to drive away the Cause of the pain fils the pain'd part with blood and spirits finally pain weakens the part and makes it most fit to receive the Humors 2. Transmission either from the whol body or the venous tribe or from some parts namely when their expulsive faculty is strong the waies open and the matter plentiful Yet it somtimes notwithstandind happens that the Humors being accumulated in their vessels begin of their own accord to be moved and rush violently into some one part according to the nature of its scituation and conveniency of Vessels Now those Humors are most of al moved which are most thin and sharp as the cholerik II. Humors offending in place are the Humors aforesaid when they are where they ought not to be The Causes are 1. Influx either by attraction or Transmission 2. Congestion which happens either by fault of the part inasmuch as its coctive or â—â—â—ulsive faculties do not their duties or tâ—â—â—gh fault of the Nutriment when it is vitious and such as to cause such great quantity of Excrements or when gross matter is produced which resists the expulsive faculty III. Humors offending by their whol substance are those which having gained within the body a peculiar corruption they do after an hidden manner and by their whol substance affect the same Understand both preternatural excrementitious Humors and natural excrementitious Humors retained as seed clotters of blood menstruous blood The Signs are the sudden invasion of malignant symptomes as
Raving Fainting away c. The Idea of Diseases themselves c. The Cause is both alimentary matter which has in it the seeds of that corruption and while t is mixed with others hurts not but being separated from them and existing by it self it becomes poyson We verily feed upon many things that are fed with poyson To which ad Heat joyned with the principal Agent the Matter to which may be joined a disposition of the Body hereditary or acquired Particular Influx of the Heavens the Air receiveing the Astral Influxes and terrestrial Exhalations Contagion Poyson Finally the Imagination and Affections of Passions Now the foresaid determinate Corruption is brought to this degree ofttimes by long Digestion and Fermentation whence it is that the Plague does not range up down every yeer although every year the Humors are many waies faulty yea and it often plaies its pranks without any putrefaction as in plants and Animals venoms are bred without Putrefaction and in the most dry Air pestilential venom is bred in which there appear no signs of putrefaction Article II. Of Winds Flatus or Wind is a plentiful vaporous Spirit raised in mans Body by a weak Heat out of meat and drink and a clammie humor The Subject is the body of Live-wights but chiefly the stomach and Guts The Signs are strecthing with heaviness wandring pains the foregoeing of the Causes that breed wind The disease caused thereby rises on a suddain The Urines are ful of bubles on the top The Causes are 1. Meat much and moist which can of it self hardly be digested and somtimes it is in its own nature windie as are fruits which wil not keep windy roots great Sea fishes al sat things such as are sweet clammy c. 2. A crude Humor and which is clan my 3. Weak heat not able to digest the matter whether it be weak of it self or in comparision of the matter on which it works 'T is divided into flegmatick wind which is slowly moved and lasts long Cholerick which is biting sharp and quickly vanishes Melancholick which is fixed and causes sadness And Sanguine which is mild and is offensive more by its Quantity than Quality Article III. Of things totally against Nature Things totally against Nature are Stones and Wormes I. The Calculus or Stone is a solid strong substance bred in the Body of Man out of a slimy tartareous mucilage impregnated with a putrifying faculty by the Assistance of Heat It s Subject is the Body of Man and therein the Brain Liver Gall-bladder Stomach Kidneys Piss-bladder c. The Signs are suplied from the parts themselves There is in a manner nothing to be said of them in general The Cause is not flegm For many are troubled with flegm that are not molested with the stone and many have the stone who keep an accurate diet but a putrefying or stone-making juice Hence it is that persons subject to the stone make water like snivel which afterwards turns to a stone Now it proceeds from the dreggyness of meats which being retained it glews to this or that part is daily encreased by arival of new matter when it laies hold of a clammy thick and earthy matter it coagulates the same and the internal salt of Mans body coming afterward which the foresaid tartar by reason of its natural clamminess easily receives and hides within it self at last is congealed into a perfect stone II. Wormes are little live creeping things bred in the Body of man of a thick clammy excrementitious humor containing in it self a kind of vital Principle by a quickning heat raised by putrefaction Their Subject is the body of man and therein the Brain Liver Stomack c. The Cause is 1. An Humor furnished with a kind of vital principle so that of several Humors several sorts of wormes are bred and the humor is somtimes thick and roaping somtimes bitter so that wormes wil be bred of wormwood and sea salt 2. Heat not celestial but bred in the body and that moist but not alone This by little and little 〈◊〉 solves the humor and stirs up the spiritual â—â—at and principal of life which lay hid in the matter Title III. Of Symptomes A Symptome is an Affection besides Nature in those things which belong not to that Constitution which is necessary to the action of the Parts and which follows some other thing besides nature The SIGNES of the Symptomes are discovered by one or more of the senses and in case they are hid they are drawn from the same fountains with the signs of Diseases and causes that is to say from the Effects and Causes The CAUSES from which they arise are Diseases Causes and their Symptomes T is divided three manner of waies especially I. One is of the Disease which immediatly follows the disease no affection according to Nature intervening Another of the Cause when the Action is hurt by some morbifick Cause A third of a Symptome when one Symptome depends upon another Symptome foregoing II. One is an Action Hurt whether it be abolished diminished depraved or augmented It happens either by fault of faculty when the instrument is immediatly il affected to which the absence of the spirits and influent heat is reserved or by reason of some external Error when those things faile with which the actions are or without which they cannot be performed Another is of things voided and retained Another of qualities changed which depend upon the Actions hurt and the Humors proceeding therefrom III. Another is of the Natural Faculty viz. The nutritive augmentative generative Another of the vital faculty Another of the Animal faculty to which appertaine the Symptoms of the external sences of the internal senses the motive faculty c. THE THIRD BOOK OF THE IDEA OF PRACTICAL PHYSICK Touching Medicaments Title I. Of Medicaments in General HAving already spoke of the preternatural disorders which afflict the Boâ—â— of Man it followes that we should now speak somwhat of their Removal Now touching their removal two things are considerable 1. By what Meanes they may be removed 2. How and in what manner they ought to be removed The Meanes are termed Medicaments which are considered either in general or in special and according to their differences A Medicament in General is whatever being applied to a Sick Body is of Ability by its faculties to reduce the same from a Preternatural to its natural state and condition Concerning which five things are considerable The Name Faculties Dose Adulteration Substitution and Collection I. If we consider â—he Name you must know that we understand not the word Medicament in the most common acceptation for so it comprehends poisons and paintings or Fucuses but in reference to mans body and that either generally considered forasmuch as it neither nourishes nor destroyes the same or specially forasmuch as it is troubled with sickness II. The faculties of Medicaments are 1. Manifest and either the first Heating Cooling Drying
Congelation The former is altered by things moderatly hot and moist least the force of heat should dissipate the Humor the latter by opening the pores with an aiery moisture the last by things hot and moderately dry Medicaments exquisitly Emollient applied to the principal members or parts near them do bring the life in danger II. Discussion is a convenient dissipation of an humor sticking in some part and softned by insensible transpiration caused by diaphoretick Medicaments 'T is called Digestion and Resolution I added and softned For humors hardened cannot be discussed unless they be first softned To convenient Dissipation is requisite 1. That it be undertaken before the Body be evacuated 2. That it be not used in such as have hot Veins and Livers 3. That Dissipaters be used in the State and Declination and that in the Augment they be mixed with Repellers 4. That they be not biting nor vehemently hot lest the thinner parts evaporating the thick become dryed and hard as a stone Point 2. Of Suppuration and Attraction I. Suppuration is the convenient mutation of an Humor that cannot be discussed into Quittor by ripening medicaments The Conveniency hereof requires 1. That it be chiefly practised when Blood offends for Blood is best changed into Quittor choler and melancholy hardly by reason of that degeneration whereby they raise Cancers and malignant ulcers 2. That it be not rashly practised upon the internal Parts 3. That among external parts it be not practised about the Joynts 4. That it be not overmuch or overstrong otherwise it wil dispose the part to a gangrenous Putrefaction II. Attraction or drawing is the convenient Motion of matter infixed into a part by drawing medicaments These Medicaments are either more gentle which are termed Rubifyrs or more strong which are Bladder-raisers Crust-procurers and Causticks The Rules of Conveniency respect Causticks and Vesicatories or Bladder-raisers In respect of the former 1 We must not come to Causticks before we have tried Rubifiers and Vesicatories for Causticks take somthing from Nature 2. That they be then used when there is danger least the part should perish and especially when there is fear least abundance of matter should putrefie the Bone 3. That when there is need of little burning we are to use an Instrument of Brass and an Iron one when we are to burn much 4. That Consideration be had of the Age Strength of the Patient and the swellings whereunto they are applied for many instead of the Kings-Evil swellings have burnt the jugular Veins In respect of Vesicatories it is requisite 1. That they be not applied to accute diseases nor to external Parts exulcerated nor to the region of the Lungs when they are exulcerated because by them the ulcers are exasperated or to gristley parts and such as are bare of flesh because by burning they grow black 2. That after the flesh is swelled the Cicatrized Part is become black and blew the Patient is pained we desist least the part be stupified 3. That before they be laid on the place be tubbed til it look red Article 5. Of Expulsion of Wind cal'd Carmination Carmination is a convenient dissipation of the Winds arising in mans body by carminative or Wind-expelling medicaments That this dissipation may be conveniently affected medicaments discussing winds ought not to be administred before the matter be diminished otherwaies more flatulencies wil be raised by rarefaction of the matter THE FIFTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Touching the Removal of Diseases Title I. Of the Diseases of Similar parts and their Cure Chap. 1. Of the Method of knowing and curing distempers without matter SO much may suffice to have spoken of the methodical removal of Causes which ought to be handled a part from the particular cosideration of the causes themselves the general method for the removal of Causes follows which must of necessity be jointly handled with the prime differences of the diseases themselves seeing it comprehends not only the diseases but the Causes also signs and differences of the diseases The primary and essential differences of diseases are those whereby they are divided into Similar organical common Similar diseases are either of distemper or of hidden Qualities A distemper is either without matter or with matter A distemper without Matter is a declinanation of the temperament of a mans body from its natural constitution induced by certain causes proper for such an Effect By temperament you must not understand that which is called temperamentum ad pondus wherein there is equal proportion of the qualities but that which is termed temperamentum ad justitiam wherein the qualities are not in equal though in a wel ordered proportion which is convenient for some kind of actions 2. Understand temperament both simple and compound 3. The temperament of Mans body not only as it is mixt but also and principally as it is liveing whether it be inbred or influent The Sings are taken from the differences The Causes are principally external of which in the same place The Cure is performed by Alteration if you precisely consider the distemper it self but this disease does not long last without matter T is divided into four sorts I. One is hot in which heat abounds T is knowen from such things as may exhalt and encrease sweat and from such as are the Effects of Heat so encreased It arises cheifly from five things viz. Motion of the Mind and Body Putrefaction The nearness of some hot thing the mixture of somthing that is hot and stoppage of the Body 'T is cured with cooling medicaments whether simple or compound taken in or outwardly applyed Where we observe 1. That alterations consisting of heat and cold are most easily cured 2. That an hot disease in a Body which is naturally cold must be vanquished by remedies that are strong 3. That cold medicaments have four degreers II. Another is cold in which cold exceeds 'T is known from causes which induce cold and symptoms which follow the same It arises from such things as either are of their own nature cooling or suffocate the innate Heat or overwhelm or dissipate the same or withdraw its nutriment The Cure is undertaken by heating its medicaments first such as are more gentle afterwards the stronger sort See the Medicaments in the Institutions of Physick III. Another is moist when moisture overcomes It is knowen by the antecedents and consequents It arises from the neighbourhood of moist things and which hinder the transpiration of most evaporations 'T is cured by drying Medicaments IV. Another is drie in which dryness prevailes 'T is known by former kinds of signs It springs from contrary Causes viz. Alteration of dryers and overmuch resolution and and paucity of aliment 'T is cured by moistners V. Another is compound that is to say Hot and dry or Hot and moist Cold and dry or cold and Moist Of which we need not to say much For it may easily be gathered what it is and how to
greatness of the cause nobility of the part affected vehemency of symptomes and the Deaths of many persons It is undertaken I. By ridding away the poison which is done divers waies according to the differences of poisons II By administration of Antidotes both common and appropriate to every part of the Body where nevertheless we must not forget the manifest qualities This is an approved antidote viz. An Electuary of Masterwort Roots of sweet Angelica of Gentian of white thistle of each two handfulls terra sigillata six ounces Myrrh an ounce Venice Treacle four ounces Rosemary Rue of each one handful Birthwort three pound Bayberries one handful virgin hony clarified a triple quantity to al the rest Make al into an Electuary according to Art The differences are taken from the Causes I. Some spring from internal Humors II. Others from infected Aire The Cure consists in prevention of such aire and avoiding the same In purification of the infected aire respect being had to the Cause of the Infection By giveing of Alexipharmaca or Antidotes by which the Heart may be defended and the malignity driven away by sweat III. Some proceed from water For there are certaine metalline fountaines envenomed either naturally or by some occasion yea and drinking of water has brought many into the dropsie and the scurvy is caused by corrupt water Such fountains are to be avoided and faulty waters must be corrected by boiling straining putting in barley flower or Garlick c. IV. Others come from Contagion V. Others from Poisons whose Cure is doubtful if present poison be taken in and that in great quantity Impossible if the poison cannot be expelled neither by vomit stool nor sweat Respects 1. Expulsion by Alexipharmaca or Antidotes which differ according to the varieties of poisons 2. Evacuation especially by vomit that those medicaments may better penetrate unto the Heart 3. Prohibition of Sleep least the poison should thereby peirce the sooner into the Heart and inner parts The Differences are many I. Some are poisons taken into the body which are cured by a gentle vomit made of fat things By purgation if it stick in the upper Gutts By Vrine if it tend to the urinary passages and in all medicaments be sure to mingle Antidotes By Diet in which case Milke is exceedingly commended II. Others are externally applied to the body whose Cure consists in extraction or pulling out the said poison both by drawing medicaments and by such things as do it by a certain likeness which must be continued til the evil color pain and symptoms shal cease Interception which is excellently performed by binding somwhat very hard upon some part above the place affected Use of Alexipharmaca if the Poison have peirced into the Body as was said before Title II. Of organical Diseases Chap. 1. Of Diseases of Conformation AN organical Disease is the diviation or swerveing of the parts of Mans Body from their natural structure Now because to the said Natural structure Conformation Number Situation and Connexion are requisite therefore there wil be so many differences and to this title four heads are subjoined and also because in Conformation or Shaping three things are required viz. Figure Cavity and Surface there wil be consequently so many diseases Article 1. Of diseases of Figure A disease in Figure is the swerving of the parts of Mans Body from their natural figure depending upon certain peculiar causes The Signs are evident so that it is needless to speak of them The Causes are whatsoever may violate the figure of our bodies either by compounding or loosening distorting or exhausting The Cure is not difficult in such as by reason of the Humidity of their bones are yet in a growing condition It is hardly to be attempted in persons growen up in whom the bones whose figure the external parts do represent have attained greater hardness and dryness It is performed 1. By handling and working the part the contrary way 2. By binding with swathes and splints It may be repeated if the former succeeded not if the hurt be very great and the sick man lusty and that by breaking of the Callus emollients being premised It ought not to be repeated if the patient be old the hurt Less and the Callus hard The differences are from the times of swerving of the parts I. Either it happens before the Nativity in the womb and then the fault is in the shaping faculty and it is hardly cured II. Or in the birth and then either the Infant was too great or the Orifice of the Womb too strait III. Or after the Birth where the chief fault is overmuch repletion which must be cured with Evacuation Defect of Nutriment which requires meats easie of digestion of good juyce and of little Excrement See the chapter of Arrophia Violent motion either caused by the patient himself or by the Artist in which case fractures of Bones do chiefly happen The setling of one part upon another either by reason of the Resolution or Convulsion of the Nerves in which case we must have respect to the disease it self of the Nerves Article 2. Of Disease of the Cavities Point I. Of Diseases of the Cavities consisting in Excess Diseases of the Cavities are those wherein the natural passages of the parts are hurt By Cavities or hollow receptacls we understand both those large Capacities of the Stomach Brain Heart and Womb as also the passages of the Veins Arteries Ureters c. and the O rifice or Head of the Vessels and al Cavities whatsoever And because the Cavities are hurt either by way of excess or in defect the diseases of the Cavities are divided into such as consist in Excess and such as consist in defect Diseases of the Cavities in Excess are when they are greater than naturally they ought to be The SIGNS shal be set down when we come to speak particularly of them The CAUSE is what ever is of tendency to open or distend or fret and divide the Cavities The CURE is performed by Stopping They are divided into Anastomosis Diapedesis and Diairesis I. Anastomosis is when the mouths of the Vessels are too much opened and widened It is known by a plentiful shedding forth of such humor or matter which ought to be contained in the said Cavities It arises from such things either external or internal which are apt to loosen or distend The Cure tends to shut up by astringent medâ—caments of which in their place and has an Eye withal to their Causes The chief astringents are Leavs of Shepherds-pouch seeds of Purslane flowers of Balaustians smal Dasies bole Armeniack juyce of Slowes new Treacle pouder of Mans Bones Crocus Martis c. As for the differences 1. Either it springs from an External Cause as opening medicaments and then the causes preceding must be removed Or 2. from plenty of Humors especially blood burthening the faculty and then theÌ„ signs of those Humours are present We must go to work with blood-letting and purging
3. Or from the Quality of Humors provoking the faculty and then their signs are present Evacuations being premised we must use astringents II. Diairesis is when the Vessels are divided 'T is known by plentiful efflux of matter with pain It arises from causes which corrode distend or break The Cure requires conjunction or soddering by astringent Medicaments The diffences are taken from the Causes 1. It is either from external Causes viz. vehement motion heavy weight exclamation leaping contusion wounds sharp thick medicaments 2. Or from sharp biting humors and then the signs of a cholerick or salt humor are present The Cure consists in alteraion by cooling medicaments and such as blunt the sharpness of Humors by evacuation with choler and water-purgers c. and by a cooling and mitigating diet 3. Or from plenty of Humors in which case the Cure is the same with that in the Anastomosis 4. Or from Winds and then the signs of wind are present viz. stretching without weight wandring pain the Causes engendring winâ—s were precedent the disease arose on a sudden the Urine is ful of bubles c. The Causes are plenty of moist diet weak heat which cannot digest the matter The Cure requires that the Cause be evacuated that winds be expelled by convenient Medicaments White Amber is commended in this Case old Treacle also and Mithridate Electuary of Bayberries Conserve of Sage Spirit of Turpentine Oyl of Fenel Seed Anisseed Pouder of Citron Peels c. III. Diapedesis when the Vessels are rarified 't is known by an over plentiful sweating forth of Humors It arises from rarifying and moistening Causes The Cure respects the Causes Point 2. Of Diseases of the Cavities in Defect Diseases of the Cavities in Defect are when the Cavities are rendred more straight than is fit The SIGNS you shal meet with in the particulars The CAUSES of this straitness are Obstruction Constipation Growing together Compression Falling-in of which in the Differences The CURE requires the Removal of this Straitness which varies according to the variety of Differences As for the differences under them five things are contained I. Obstruction which is nothing else but the shutting up of the passages by Humors or other things It arises from Humors and things wholly against nature c. 'T is cured by convenient application of deobstructive medicaments 'T is divided according to the Causes 1. One sort springs from multitude of Humors and then Diet is the Cause Evacuation helps this sort which must be large it the Humors be many having respect to the places From the Chest by Coughing from the Stomach by vomiting from the Belly by Stool 2. Another from thick and clammy humors and then we must use abstertion cutting and attenuating somtimes abstertion alone wil suffice if the Cavity be open The medicaments ought to be strong when the viscidity of humors is great and the place remote more mild when the Case is contrary and alwaies appropriate unto the parts 3. Another is from Stone Worms Quittor Dung of which we shal speak in its place and then we must use al Evacuations either at once or at divers times And respect is to be had to the place in which the humors are lodged 4. Another sort is from clotters of Blood then we must use medicaments which dissolve blood such as are the Magistery of Crabs-Eyes Pouder of Rhubard Tormentil Sperma ceti not rancid c. You have cutting and deobstructive Medicaments above in the third Book The principal shal be specified in the Cure of particular obstructions II. Constipation when the passage is shut up by flesh or a tumor bred in the cavity It arises from a Caruncle Membrane inflamation Tunicle Push which must be concocted The Cure requires consumption and evacuation of the matter III. Coalescence is when the wals or sides of the passage grow together after an ulcer or wound It arises from flesh growing to the Cavity from a scar c. The Cure requires breaking IV. Compression when the passages are stopped by causes incident from without which force together the sides thereof It arises either from external causes as cold and dryers where loosening and moistning things are good or fresh Tumors or Bones removed out of their places The Cure requires their Removal and has an Eye to the diversity of Causes V. Falling in or falling down when the passages are straitned by the loosness and falling together of the sides It arises from over great moisture 'T is cured by dryers Article 3. Touching Diseases of the Surface Diseases of the Surface are when the parts decline from their natural Constitution in the second Qualities The chiefest of them are Roughness and Smoothness I. Roughness is a want of that Smoothness which ought to be in a part It is caused either by addition of a Surface in the solid parts as in fractures certain scales are seen and there is need of fetching somwhat off by abstersive Medicaments or by taking away and then sharp things both external as vapors Winds Fumes Meats venemous Medicaments and also internal as over dryness of the parts when their moisture is consumed bitter choler salt flegm c. In the Cure we must fil up that which was hollowed the acrimony of humors must be be tempered and the parts not yet affected must be defended We must goe to work with moist and clammy medicaments II. Smoothness is a defect of that roughness which ought to be in a part 'T is cured with abstersive medicaments which have withal some astriction that the tone of the fibres may be repaired and the spaces in the surface of the part being dilated by humors may be again contracted Chap. 2. Of Diseases of Number A Disease of Number is when there is a fault in the number of parts 'T is divided into a Disease of number in defect and in excess A Disease of number in defect is when a part which ought naturally to be present is absent That part is either Sanguine or Spermatick which is not regenerate or repaired in Specie or simple or compound nor must it be the particle of a part but a whol part The Cause is whatsoever either by way of efficiency or privation of matter may cause the want of any part The Cure points us to Restitution which is made only by nature the Physitian mean while preserving the strength of Nature by defending the natural Heat by supplying fit matter thereto viz. blood and by removing impediments that is to say Flesh and such like things As for what concerns the Differences Either the fault is original or through defect of matter necessary to generation or through the weakness of the natural faculty which ought to attract retain and elaborate the matter and so it cannot be restored Or after birth by cutting gnawing putrefaction refrigeration and the Cure is to be directed to its causes II. A Disease of Number in Excess is when there is a thing which naturally ought not
Another by Induration and then the matter is clammy and hard natural heat strong the tumor it self diminished and the Hardness is encreased Another by Corruption and then the part appeares lead-colored and black and the heat and paine are diminished Point 1. Of an Imposthume Two things follow a tumor which proceeds from Humors viz. an Imposthume which is sometimies attended with a Cavity An imposthume is a collection of purulent matter or quittor in the Cavity of of some part proceeding from the Humor which causes the swelling The Subject is the parts and their Cavities The Signs may be fetcht from the third difference of tumors ariseing from humors where the business of suppuration is handled The Cause is the Humor it self which natural heat ripens and turns into quittor Hence it is various according to the variety of the Matter The Cure has respect to two certain times or seasons I. When quittor is in making and then we must act 1. By anodines and paine-asswagers Oyl of worms is exceedingly commended 2. By Ripeners and that temperatly hot and clammy in hot tumors and soft and moist bodies such as sweet oyl wheat flower milk crummy part of wheaten bread with such as are yet hotter in cold tumors and cold Natures and parts such as terpentine fire-rosin larch-rosin pine-rosin sigs raisons diachylon simple II. When quittor is made where we must go to work with 1. Evacuation either Insensible which is dangerous not only where there is great quantity of matter for feare of hardning the same but in al cases by reason of accrimony which may be increased by delay Or sensible and in this case the Imposthume must be opened either by more benigne medicaments amongst which are Diachylon simple with mustard-seed figs and salt or by stronger that is to say potential and actual Causticks 2. By Clensing with detergents viz. Juice of smalladg of Centory round birth-wort wormwood Betony Agrimony c. 3. By breeding of flesh with Sarcotick medicaments 4. By covering all with a scar by Epulotict medicaments among which is Emplastrum Diapalma In respect of the Differences they are manyfold I. Either it is from Blood and then it is easily ripened and being ripened it affords laudible quittor Or from other humors which arises with difficulty has somwhat in it like quittor green and yellow II. Or it is pure and simple quittor like either to pap hony suit oyle lees and wine dregs and sometimes mixed with many other things III. The Impostume is either in fleshy parts and then it is easily changed into quittor or near the joints in nervous and weak parts which have little Heat in them and then it is ripened with difficulty IV. Either the quittor flowes up and down in the Cavity and is gathered into the receptacle thereof or it is shut up into a peculiar membrane and bag Point 2. Of the Hole in an Imposthume The Sinus or holly hole in an Impostume is when the quittor diffusing it self in the depth thereof the neighboring skin does not cleave to the flesh beneath it The Sign is the going before of an impostume and tents by which it is best of al searched The Cause is the quittor it self which being kept in far below does make by its acrimony coney holes as it were and draws together the excrements of the whol Body The Cure is imposible if it have collected a Callus and hardness Doubtful if much and unconcocted matter is voided forth pain felt in the Hole Hopeful if little quittor good and white come forth and there be no pain 'T is performed I. By Evacuation of the quittor which is done either by bare clensing if the Hole tend downwards with barly water melicratum or mead and wine sod with hony or by Opening so that either the whol cavity be cut asunder if it be smal or only the lower Orifice if it be great and the part cannot be cut without danger II. By production of flesh with Sarcotick Medicaments where note That an excrement must be removed as wel if it be thin as thick least it stick in the Ulcer Most with the dryer sort as Orobusmeal Orice root Birthwort Myrrb Tutty pompholyx in such as are dry with the less dry as Franckincense Barly meal and Bean meal in such as are dry If the hole be not wide open liquid medicaments are to be cast in by a syringe and to be let alone a good while By want of pain and voidence of little quittor and wel digested we may guess of the soodering and growing together again of the skin and flesh and by contrary signs of the Contrary As for what concerns the defferences either they are shallow and little or deep and broad Either strait or oblique They tend either upwards or downwards and that way the worst quittor is evacuated Article 2 Of diseases consisting in Magnitude diminished A disease of Magnitude diminished is the diminuition of the parts of mans body in their natural magnitude There needs no signs seeing the disease it self is evident The Causes are want of aliment either because it is drawn away or because the channelar e obstructed Straitness of the place in which a part ought to be augmented section putrefaction refrigeration ustion of which in their places The Cure is undertaken I. By repairing the part with plenty of good nourishment in which case drinking of wines meats of thick juice little exerciâ—e indifferent rubbings are useful A Dropax or pitchy medicament of which see the Pharmacopeia II. By regeneration if a member be pluckt away which is the work of nature alone only let the Physitian remove the impedicaments c. Chap. 6. Diseases in Situation A Disease of situation or connexion is the sejunction of such parts of the Body as ought to be conjoined and a conjunction of such as ought to be separated 'T is needless I should speak of Signs because the disease is of it selfe apparent The Causes consist in those things by means of which the parts are fastened together and touching luxation we shal speak in the following Article Now the connexion of such things as ought to be separate comes to pass when the intermediate parts are loosned or the ligaments broken or wounded The Cure requires the Conjunction of parts disjoined and separation of parts conjoined And because luxations are most frequent of al the diseases of situation I think it meet in this place to treat of Luxation in Generall Article 1. Of Luxation Luxation in General is the slipping of a joint out of its natural seat into another wherby voluntary motion is hindered The Signs are the unlikeness of the Member to it self as it was before in shape and length Motion hurt pain by reason of Compression of the Nerves Muscles and tendons the sweling of that part in to which the joint is slipt the hollowness of that place from whence 't is fallen The CAUSES are al such things which are apt to stretch or violently
to force especially the laxity or solution of unity of the parts wherein the joynts are contained the Contraction of the Ligaments c. The Curemore easie in children and soft persons 'T is hard if theâ—e be great pain inflamation a wound or dancer of Convulsion If the Luxation be old and hardned with a callus If it happen in childhood and be not cured If it tend to a Consumption through cessation of Motion and Compression of the Vessels If the joynts hurt serve but few different motions If they are departed far from their Cavity If the Brows or edges of the Bones are broken 'T is performed by Reposition oâ— Restoring the joynt to its place which requires 1. Sufficient extension whereby the bone is forced into its place 2. Reposition with ones hand or by common Instrumentes or some devised on purpose 3. By application of astringent Medicaments that inflamation may be prevented 4. By diligent binding with swaths and bolsters 5. By putting it into a gentle posture and so that it may preserve its natural figure The Differences are sundry For I. One sort springs from external Causes a blow a fal violent extention before child-birth and at the time of the birth which ought to be prevented Another from Internal when an humor slipt into the Cavity of the Joynt drives it from its seat II. One is Perfect when the whol Joynt is fallen out of its place which is termed Exarthrema Another is Imperfect when the joynt is slipt only to the brim of the Socket which is termed Pararthrema III. Another is with Inflamation and Pain in which case the pain must first be mitigated the Inflamation asswaged lest by distention of the Nervs a Convulsion arise and afterwards it must be replaced IV. Another is accompanied with a Wound which is the most dangerous especially if the wound be nigh the Joynt and an accute feaver arise Here the Joynt is forthwith to be restored to its place if possible If it cannot be restored we must attend the Cure of the Inflamation to the seventh or ninth day V. Another is with a fracture where the Joynt is first to be restored to its place and the Fracture is to be cured afterwards if it cannot be reposed it is then to be restored when the Callus is bred Title 4. Of Diseases of Vnity dissolved A disease of Vnity dissolved is the loss of that Continuity and Vnity which ought to be in the parts of Mans Body The Causes therof are 1. Such as are Corrosive as al sharp things Causticks and Putrifiers 2. Such things as divide unity either by pricking and stabbing or cutting 3. Things which break as stones Timber c. 4. Things which bray and tear either by replenishing or overstretching 5. Such as burn as things heated in the fire red-hot Irons c. The CURE requires Vnition The Physitians part is to see that nothing betide the part affected which may hinder the same That the Lips may be rightly applyed one to another That the temperament of the part it self may be preserved and that the symptomes which may happen be prevented And forasmuch as among diseases of Unity dissolved the chief are Vlcers Wounds Fractures I must speak somthing of them in general Chap. 1. Of Vlcers AN Vlcer is a solution of Continuity arising in a soft part diminution of Magnitude caused by some fretting and eating matter The Subject is a soft or fleshy part comprehending not only the flesh of the Muscles but that also of which the Guts Bladder c. do consist SIGNS are needless in such as are external the Internal may easily be gathered from the particulars The Times of Ulcers if you consider them at first a watry Sanies thin crude and plentiful flows forth the Symptomes viz. pain itching c. do afflict At the Augment the Symptomes are encreased the Sanies begins to be digested and is lessened in quantity al things are greatest in the State in the declination they are less The CAUSE is either external viz. Caustick medicaments the Contagion of the Whores-pox c. or internal or humors which are either bred in the part affected or flow thither from elswhere which may happen in the spring time or by reason of exercise in cacochy mical Bodies The CURE is difficult if it reach to some noble parts of exquisite sense ful of moisture naturally If it follow other diseases because then nature drives the vitious humors to that part If the Ulcer be great because the external air can work strongly upon it If it be round because the extremities are more hardly reunited If it be old because the bone must needs corrupt If it tend to look green and black for so the Heat of the part affected is extinguished If it run with much sanies thin pale lead-color'd black and stinking If the spleen being in fault it affect the Thighs because thick and Melancholy Humors flowing to the Ulcer hinder its closing 'T is performed I. By Evacuation if the Body be cacochymical II. By Blood-letting if it be plethorick III. By Suppuration when blood shed out of the veins sticks in the pores of the part where note that abstersives are excellently mingled with suppurators lest the Ulcer should become too moist and that nature which then seperates the Excrements may be assisted Among them are Turpentine Oyl of Mastick c. IV. By Abstersion of which I spake but now which is performed by detergent Medicaments V. By generation of flesh with Sarcotick Medicaments And here observe 1. That they ought to be neither strong nor weak lest by the former the ulcer become dry the flesh be consumed bloody liquors be voided and by the latter the flesh grow flaggy and too great abundance of sanies be collected 2. That moist medicaments be applied to the softer Bodies yet so as that Plaisters Oyntments Liniments be so soft that they be not melted with Heat of the part and breed flesh too loose and unlike that wich is beneath Pouders must be put upon hard and dry bodies VI. By Introduction of a scar by epulotick medicaments Where observe That they ought to have a drying faculty both actually and potentially They are then to be applyed when the Ulcer is nor quite ful of flesh lest if it be put to it when 't is ful seeing the flesh does stil grow the Scar becomes more extuberant The Differences of Ulcers are sundry I. One is great little long short streight crooked Aequal in which the flesh is equally consumed in al the particles of the part affected Vnequal which is contrarily disposed Superficial Profound External Internal II. Another is with a Distemper I. Either hot which is known by Redness of the Flesh in the Ulcer it self 2. By feeling of Heat Pain by reason of the acrimony and biting nature of the excrements It arises from hot Air too great a Quantity of Swaths and Cloaths over hot medicaments 'T is cured by coolers which are withal Pain-asswagers
Serpentary root Centory Fig-Ashes Unguentum Apostolorum Agyptiacum By opening the Fistula which being done the Callus must be taken off with a pen-knife or with a red hot iron the part being guarded with a defensative III. By Consolidation the filth being cleansed away by Centory pimpinel c. As for what concerns the differences 1. Some have divers holes or Cavities and then more quittor flows out than can be contained in one Cavity 2. Others have divers orificies and then if the liquor squirted in by the syring flow back through al and if the humidity be of the same coler t is but one Fistula 3. Another terminates upon flesh then that which we touch with the probe is soft and the quittor that comes forth is white 4. Another reaches to the nerve then pain is felt when we search it 5. Another bottoms at the bone and then that which we touch with the probe is hard 6. Another ends upon a Vein and Arterie and then if they be gnawen asunder blood breaks forth if not a certain matter like lees or dregs comes out Chap. 2. Of Wounds A Wound is the solution of Vnity in a soft part made by somewhat sharp and cuting either by way of a prick or stab or by way of a slash or gash The Subject is a soft part and that either external or internal c. There need no Signs The Cause is expressed in the definition The Cure is none if the Heart be wounded so that the vital spirits be dissipated if there be a vessel in the Lunges out of which blood being shed overwhelms the Heart If some great internal vessel be so hurt that it cannot be shut up whereupon blood being plentifully shed the spirits are dissipated Doubtful if the weapon were poisoned if the wounded person be weak and ful of bad humors if an inflamation happen in the inner more nervous parts and such as have more exquisite sence which is followed by an afflux of humors and sometimes by a Gangreen 'T is difficult if it be joined with a Cachexy and dropsy because overmuch moisture hurts the cure If it be purged out with difficulty If it be complicated with other diseases If it be in a part apt to receive a Conflux of humors If it have in it some extraneous thing which cannot at first be drawen forth If on the Critical daies to which wounds are so far subject inasmuch as they have in them some matter requiring Concoction there is no change to the worse If the wound be oblique or circular If convulsion happen or contusion be also present 'T is performed I. By exemption of superfluous things Where note 1. Clotters of blood must be taken away only at the third binding because by stopping the Orifice of the veins they hinder a flux of blood 2. Those broken bones are only to be taken forth which are perfectly free 3. The weapon must be pulled forth if the patient may live when that is done 4. That the weapon may be taken out either by thrusting them along if the passage be short and neither bone nerve nor veine prohibit or by extraction and both waies are performed either with section or without the same those things which cannot otherwise be removed must be brought out with drawing medicaments nor must they be by any meanes left to Nature II. By conjunction of the Lips of the Wound where respect must be had to the manner of binding up and to which belongs swathing placing of bolsters slipping and the right placing of the part tied up III. By Digestion that the blood which flows out of the smallest veins in the part wounded and sticks in the pores of the part may as soon as possibly be changed into quittor Where observe 1. That in moist bodies vulgar moisteners must warily be used least putrifaction being induced the wound should turne to a sordid ulcer 2. In dryer bodies they are more profitable to correct the dryness 3. That Digestives must be corrected with sarcoticks and that we must not trust to one medicament See the Medicaments which move quittor in the Institutions This is the best Red clear terpentine and Gum Elemi of each one ounce and an half Weathers grease two ounces old Hogs-grease one ounce Melt al over the fire and make a Liniment 4. By Conglutination of the Parts which is performed either by a medium of the same kind in the soft and fleshy parts in which plenty of blood by strong heat is more easily changed into flesh or by a Callus in the bones or by a scar in the skin Which is furnished by sarcotick medicaments of which in another place also by vulnerary potions concerning which observe That they are not to be used at the beginning nor when external medicaments may serve the turn and when there is a fever and Inflammation those things must alwaies be used which are appropriated to the parts Hereunto appertain The Vulnerary Balsom of Hartmannus in his chymiatria the glutinatory pouder of Crabs Balsam of Eare wax and Rulandus his balsam of sulphur 5. By averting the fluction where we are to use 1. Blood-letting if the body be plethorick If the blood did not issue out two much before If the wound be great and there be no inflammation caused by pain 2. Purgation if the body be ful of bad humors if the humors be thin hot and cholerick least they make the blood apt to stir If it be used at the beginning If there be no fever withal The Differences of wounds are sundry 1. One is of the Vessels and that either of a Veine and then the blood Issues more violently and it is thicker blacker and less hot or of an Artery and then the blood is yellow hot and thin the patients strength is much spent by reason of loss of spirits t is hardly cured by reason of the hardness of the Arteries their perpetual motion and the force of the blood in them contained The Cure calls for the stoppage of blood which is performed 1. By joining together the Lips of the wounded vessel either with a mans fingers or a swat he by which means nevertheless the blood wil hardly be stopped By stopping the Orifice of the Vessel either by application of ones finger or by medicaments which stop blood The external medicaments are Crepitus Lupi a kind of puckfist or toadstool so called vitriol poudered and put in a cloath the pouder of Agricola consisting of two drams of Sugar of Lead White franckincense red myrrh one dram of Saffron and Camphire poudered wet with Frogs-spawn water dried at a gentle fire put into the wound Internal medicaments see in the Chapter of bleeding at the nose 3. By Revulsion with blood-letting divers times administred or by Cupping glasses if the patient be weak 4. By Interception with intercepting medicaments which ought to be applied to the vessels by which the blood flows 5. By dissolution of the blood after it is congealed and clottered
see the medicines above II. Others are of the Tendons which cause pain but not very great They are less dangerous They are cured as those of the Nerves Or the whol tendon is cut asunder in the mids and then the motion is taken away but if nor the motion is only weakned III. Another is of the Nerves which are knowen from the writings of Anatomists by their vehement pain to which convulsion and inflamation are wont to succeed They are cured with difficulty by reason of following symptomes especially if there be no tumors If appeareing they suddenly vanish If the Nerve have conceived putrifaction and that be communicated to the near and remote parts In the Cure 1. Paine and Inflamation are to be removed by blood-letting and purging 2. The wound must be kept open that it may vomit out its Excrements 3. Temperate and drying Medicaments of thin parts must be applied mostly hot respect being had to the Constitution of the body and affluxe of Humors 4. The intermediate parts must be fomenred with oyl of white lillies c. If you consider the differences I. Some are caused by way of pricking and then the kind of the weapon and the wound agree together The Symptoms aforesaid follow The Cure is hard because the disease is dangerous Especially if it betide an impure body and if the tumor ariseing do vanish and raveing follow It respects 1. The purging of the body from vitious humors 2. The asswagement of the pain by anodyne Oyls or Cataplasmes 3. The drawing forth of sanies or corrupt moisture either by drawing medicaments or by section Cross-wise or by tents yet so as that they touch not the nerves 4. Application of thin medicaments moderately heating and drying as balsam of Peru St. Johns wort oyl 5. Diet in which cold aire wind passions of the Mind and venery are prohibited II. Others come by Cutting which happens I. Either according to longitude and then the paine is not so great nor is there so great fear of Convulsion seeing the fibres are not so affected In the Cure the Lipps of the wound are to be closed together with a swath band The corrupt liquor must be suffered to have its egress which is like sometimes to milk water whey whites of Egs. The foresaid Medicaments must be put in The wound must be covered with a plaister of Diapalma or some other 2. Or athwart the Member and then it is either cut quite in sunder and then motion and sence are abolished without pain or it is not cut in sunder and then the pain is not so great there are al the symptoms which may be in a prick In the Cure stitching must be used but so as not to hurt the nerve IV. Others are of the Joints which happen in the Cubit knee and Joints of the fingers They are 1. Either without Luxation in which case the Cure is Difficult because the Joints easily receive fluxions and are apt to be pained especially if they happen in the inner part where the vessels are greater It is performed 1. By drawing the Lips together so that an issue may be left for the quittor 2. By preventing the affluxe of humors by evacuation Interception a right situation of the Member 3. By repulse of cold aire by Cataplasmes and other things II. Of with luxation or disjointing where there is greater danger because of tearing asunder the nervous parts Halting followes In the Cure the joint must not be restored for death would then follow With the wound you must proceed as with other wounds the binding up only excepted The fluxions must be prevented cheifly by purgations and Sudorificks V. Others are with Bruising when a weapon is blunt or heavy or a man is beaten against somewhat In the Cure you must have regard to I. The Contusion where 1. Afflux of humors must be prevented by revulsions defensatives and repellers 2. The blood which is flowed in must be changed into quittor by medicaments not too moist and Cataplasmes must be applied round about where the part is bruised II. The Wound which 1. Must be cured with digestives of rosin terpentine and yolkes of Egs. 2. When quittor is bred we must use abstersion and consolidation 3. If it wil not be suppurated and there is danger of a Gangreen we must Scarrify c. The Differences are taken from the parts I. Either it is of the Nerves and Tendons where the part must be fomented with discussing Oyls made hot If the skin be withal bruised the paine is first to be asswaged with the white of an Eg mingled with Rosewater then a while after the part must be fomented with astringent wine luke-warme finally Cataplasms must be laid on of Elme leaves boiled in oyl or the Ashes of vine spray with Hens-grease If hardness remain Emollients and Digestives must be applied II. Or it is of the Ligaments where we must deal with heating and drying medicaments c. VI. Others are by Gun-shot which are knowen by the very sight The Cure is hard if the Body be cacochymical If the the bones be withal broken If they are made with a poisoned buller 'T is perfected 1. By drawing out the bullet with fit Instruments 2. By changing into quittor what is bruised with Quercetanes Ointment P. 145. The balsam of Pareus recorded by Sennertus lib. 5. Of Wounds made by Gun-shot so as to prevent a Gangreen 3. By abstersion with detergents either stronger if there be much quittor or milder See Quercetanus Dispensatory p. 146. 4. By breeding of new Flesh by Medicaments which may be seen in the forenamed Author and others See besides Ludovicus Botallus and others Quercetanus his Treatise of Gunshot-wounds VII Others are poysoned either by an infected venemous arrow or other weapon or by the biting of some beast and then in the wounded place there is greater sense of pain and pricking and grievous symptomes happen In the Cure we must thus proceed as 1. To stop the passage of the poyson to the inner parts of the Body to draw it out by cupping-glasses or other medicaments by moderate binding of the part above the wound by cutting of the Flesh unless it contain Nervs by washing the wound with Wine and Treacle mingled together with Causticks c. By fortifying the Heart with external and internal Antidotes 2. To cure the wound it self Chap. 3. Of Fractures A Fracture is the division of a Bone by an external Cause violently assaulting The SIGNS are want of due motion in the member bitter pain before the bones are composed shortness of the member by reason of the broken bone The Causes are external yet aptness to break does proceed somtimes from the natural Constitution somtimes from acquired rottenness from the french pox or some other Cause The CURE respects I. The Inflamation if there be any which must be in the first place removed respect being had to the part with repellers lest the Humors should flow in II. The Fracture it self
where note 1. It must be extended without any pain or as little as may be by one man if the lesser hones by two if the greater be hurt 2. They must be rightly placed in their proper places so as the ends may fitly joyn one to another so that the Eminencies of the Bones may not be forcibly thrust into their Cavities lest they should be broken That if they break out of the Skin they be handled after a peculier manner 3. We must see whether they be rightly placed and framed together which is known by Cessation of pain and that there is no cavity that the broken part feels just as the whol save that it is thicker possibly by reason of afflux of humors 4. They must be duly bound up which is then done when a medicine made of the white of an Egg beaten with astringent pouders is first laid on to prevent Inflamation When the binding is neither too loose nor too strait It is then too loose when the Patient finds that he is lightly pressed and the same night feels himself more strongly bound and the day after a swelling arises in the extremity of the Member if it be too strait the contrary signs follow If it be not loosed before the third day 5. The member must be rightly placed that is to say softly lest it be pained equally that it may not be distorted it must be somwhat raised lest the Humors flow to it III. The Body of the Patient where if need be blood-letting and purging must be used IV. The Callus and then meats of good juyce must be given Medicaments which breed the Callus must be drunk down and applied especially in grown persons one dram of Osteocolla with Comfrey Water See Aquapendent and Hildanus in their observations V. The Symptomes 1. Inflamation whereto respect is to be had presently at the Beginning nor is the part to be bound or at least not so hard 2. A Gangrene which see in its proper Chapter 3. Itch and Excoriation which proceeds from sanies where the Sanies is to be washed off and afterwards unguentum album Camphoratum Rosaceum c. must be used 4. Pain which either springs from the overstraitness of the Swath-bands and then a swelling appears in the extremity of the part and the sick Patient complains that he is extreamly pressed The swath-bands are to be loosed and the binding to be made more easie Or from a pricking bone and then a pain arises from a light handling of the part The Bone is either to be restored to its place or taken out or cut off Or from a Confluence of Humors and then 't is cured like a beginning Inflamation Or from an evil scituation of the Member and then the Patient easily discovers the same the scituation of the Member must be changed 5. The Gracility or leanness of the member and then either an over-thin diet or long binding of the swathes is the cause Nourishment must be drawn to the part The Differences of Fractures are sundry I. One is athwart so as the Extremities do not at al stick together 'T is known by this in that you may feel the ends of the broken bone asunder one from another and in the place of the Fracture a nonnatural Cavity is observed c. 'T is more easily healed especially if it be simple and equal and the broken bones be not removed out of their places II. Another is when a bone is broken into divers parts This is hardly Cured especially if sharp eminences or points do prick the parts adjoyning If they cannot be reduced to their former state and the member is become shorter and unfit for service III. Another is according to the length of the Bone which is called a Clift This is known by the preternatural thickness of the member 'T is easily cured because there is no need of any laborious replacing of Bones but it suffices that the gaping Chinkt or Rift of the bone be closed up IV. Another is Flesh which is easily consolidated V. Another is old which is hardly because Inflamation being added extension is dangerous The extremity of the Bones grow hard Galen saies if the Cure be protracted beyond the seventh day there is danger that the bone wil be blasted VI. Another is alone of which al that has bin hitherto said must be understood VII Another is with conclusion of the flesh and has a wound joyned therewith This is dangerous if the wound be great and in the greater Muscles inflamations easily arise therupon the splints and other things for the better repose thereof cannot so wel be fitted but an hole must be kept open for the Wounds VIII Another which happens in the middle of the Bone and then the division is lighter IX Another which is near the Head above or beneath and then because in the former there are more nerves in the latter more tendons greater pain happens X. Another is near the Joynt and then by ligaments nerves tendons the part broken cannot be conveniently bound up in a bloodless part the Heat is weak the motion of the member is hindered by reason of a Callus or hard substance which binds up the tendons or muscles XI Another is when Two Bones joyn'd together are broken as in the Arm the Radius or Ulna and then the Cure is hard XII Another when One and then the Muscles can be less contracted because they are kept stretched by the whol Bone Title II. Touching Symptoms and their Removal A Symptome is a preternatural Disorder in such things as beside the Constitution of the parts are necessary to action following some other preternatural thing 'T is many waies divided but two waies especially For I. One is of Action hurt whether it be abolished diminished depraved or augmented It comes to pass either through fault of the Faculty when the immediate instrument is ill affected to which the Absence of the Spirits and Influent Heat is referred or by reason of some external Error when those things deceive with which the actions are performed or at least without which they cannot be Another is of Things voided and things retained Another of Qualities changed which depend upon the Hurts of Actions and the Humors depending thereupon II. Others are Symptomes of the natural Faculty viz. the Nutritive Augmentative Generative Retentive Attractive Concoctive Expulsive Others are of the vital Faculty others of the animal Faculty to which belong Symptomes of the external Senses of the internal Sences of the motive Faculty c. The CURE of Symptomes is their Mitigation or asswagement and that must be sudden when they are urgent that is to say do threaten so great danger that we cannot stay to take away the Disease or its Causes upon which they depend but if we should wait danger of death or some great Inconvenience would threaten us Of these we shal Treat in the particulars But because amongst al symptomes the most frequent is pain we shal
and Malignant IIII. In some the matter flows from the whol Body in others from the Brain Article VI. Of Nail-sores Kibes and Chilblaines Paronychia the Nail-sore is a Tumor arising upon the fingers ends beside the Nails The SIGNES are taken from the Situation and greatness of the Pain because the Nervous parts adjacent are affected and the said pain reaches somtimes al the Arme over The CAUSE is blood adust somtimes Malignant which Nature thrusts out into those parts The CURE is contrived by Evacuation Mitigation of Pain and Suppuration Repellers must not be used least we exasperate the pain and fix the Humor Oyl of Lead is commended by Agricola Page 216. And Eare-Wax applied with a peice of Ele-Skin Page 246. Perniones Kibs and Chilblains are swellings which arise in the winter time upon the Heels Toes and Fingers with other parts of the Hands and Feet The SIGNS are Refrigeration forgoing Pains Itch c. The CAUSE the winters cold weakening those parts and by pain drawing blood unto them They are somtimes long-lasting and though they go away in Summer they return again in winter In the Cure 1. The cold must be expelled by plunging the part into cold Water 2. The Part must be fomented with blood warm Milk wherein Rose-Mary Bay berries c. Have bin boyled or it must be put into hot Water wherein frozen Turneps have been boyled Article VII Of an Ecchymoma Ecchymoma is the effusion of Blood into the neighbouring spaces whereby a Part comes to have a livid black and blew color SIGNS are needless seeing the Disease is apparent to our Eye-sight The CAUSES are various viz. Anastomosis Diapedesis Diaeresis Contusion c. The CURE is performed 1. By Blood-letting if the Disease be great least Inflamation be caused 2. By Repelling Medicaments which must not be moist least blood flow in and they must have discussors mingled with them Honey of Roses laid on with blew Paper is good as is terra Sigillata dissolved with Water of Life By Digestion to which intent the Root of Solomons Seal bruised and steeped in Wine or other Liquor is good 4. By application of Cupping-Glasses if digesters help not 5. By laying on Ripeners that are Of a middle Nature between strong and weak 6. By opening the Tumor least the Quittar corrupt the neighbouring parts or make hollow fistulaes 7. If the part encline to a Gangraen we use to scarrifie the same and to wash it with hot Vinegar wherein the Root of Solomons Seal has been boyled Inwardly such things must be given as dissolve clotted Blood Article VIII Of a Carbuncle A Carbuncle is a Tumor springing from Adust thick and most fervent blood degenerating into black Choller which corrupts the part The SIGNS are these following A crusty Ulcer arises blackish or Ash colored not long after a round Bubo sharp and burning which is worst towards the evening breakes forth and the flesh round about is very hot There concurs a Feaver stomach-sickness womiting panting of the Heart Swownings Ravings c. The CAUSE is such blood as aforesaid which being bread in the Body and having attained a certain degree of Malignity is cast out and continually generated by a new afflux of Matter The CURE in general is in a manner None if having been red they presently vanish away Hard of such as are black and which are seated in the emunctories and near the noble members of the body Easier of such as are red Smal Single The manner of proceeding in the Cure is this 1. Let a Diet be prescribed cold and moist 2. Blood-letting must be practised at the beginning to take away fervent blood provided it be not drawn through some noble Members 3. The Malignant Humor must be prepared and Mitigated to which intent Scabious is most prevalent 4. We must Purge warily because of the acute Feaver 5. The part must be Scarrified where you are to note that the Scarrification is to be iterated if the blood require the same again We must not Draw if the Humor flow violently into the part least the Feaver and pain should be augmented Nay rather moderate Repression is to be caused by applying Medicaments to that end three fingers space round about the Carbuncle To which intent the Pap of Appels is used boyled with Vinegar of Roses into the form of a Pultis A Qiniment of Bole-Armoniack with a sufficient quantity of Oyl of Roses c. The Plaister of Agricola T. 1. Page 139. The part being Scarified must be washed with Salt Water hot 6. After it is washed Medicaments must be applied which resist putrefaction especially made of Scabious and Devils-bit 7. If Scarification help not we must use Burning but so that we presently anoynt the Crust with Unguentum Aegyptiacum or apply thereto a Cataplasme of Orobus meal and Oxymel simple to remove the same least if it remain upon the place it prevent the breathing forth of the Malignant Humor 8. The crust being removed the Ulcer must be cleansed c. The Cure thereof see in Agricola T. 1. Page 139. If you please The Difference is two-fold I. One sort is without any Pustle which discovers it self by those signs of which mention is made in general and there is nothing singular in the cure thereof Another is with a Pustle which is known because an Itching is first felt and soon after one smal pustle or more like the graves of Milet shoot forth which being broken a crusty Ulcer shews it self In the Cure there is nothing singular observable II. Another is Pestilential and then the Constitution of the year is such the Symptomes are stronger The Cure is most Difficult if it break out after a pestilential Feaver the heart being possessed by Malignant Humors T is easier if it break out before unless violent Symptomes appear soon after In the progress thereof these things are to be noted 1. That Blood-letting must be avoided because it breaks forth after the Patients strength is dejected 2. That we are cheifly to make use of Antidotes both Internally and Externally 3. Al possible diligence must be used to hinder the putrefaction from spreading To break it the Plaster of Heurnius in his comment upon the 55. Aphorisme of the fourth Book is commended Oyl of Antimonial butter the Magnetick Plaister of Hartman in his Chapter of the Plague Agricola his Oyl of Mercury T. 1. Page 139. Elixi Pestilential of Crollius c. A Cataplasme of radishes beaten with Rose-Vinegar described by Joel T. 6. Another is not Malignant and milder which at first looks red like a Flegmone or Inflamation and afterward waxes Yellow For its Cure see the general Rules Chap. 2. Of Tumors springing from Choller Article 1. Of an Erysipelas or Tumor so called ANd so much may suffice to have spoken concerning Tumors arising from blood From Choller proceeds Erysipelas and Herpes Erysipelas or St. Anthonies fire is a Chollerick Tumor springing from Chollerick blood flowing together into some part under
Decoction of Salsaparilia Guajacum and China Article II. Of the Phlyctaenae Sudamina Sirones and Vari Tumor so called Phlyctenoe or wild fire are little blisters or Bladders raised in the skin by exceeding sharp Humors They are known hereby because they are like such as proceed from scalding and when they are broken a yellowish Humor breaks forth Spring from a Chllerick wheyish Humor which is thrust out into the skin either by Nature or some external cause Are Cured by a Decoction of Duck-weed universal Remedies being premised if need require an Epitheme of strong Lie made of Beech Ashes mixt up with Lin-seed Oyl and walnut Oyl of each a like quantity and frequently applied 2. By Breaking a drying Cataplasme being presently applied II. Sudamina are pushes like milet seed which Vlcerate and ruff the skin They are known most easily They arise from plenty of sweat restrained within the skin especially in an hot and moist stomach after an hot Diet. Are Cured by washing with Oaken-water to which a grain or two of Camphire may be added III. Sirones or Chriones are Pustles in the Palms of the Hands or soles of the Feet which have little worms in them The worms must be Dug forth then the place must be washed with a Decoction of Oake-leaves with Alum or of Sulphar with Oyl of Tartar IIII. Vari are little hard Tumors on the skin of the Face curdled up of an hard thick Juyce They are known easily They are of the bigness of Hemp-seeds and they infest young people that are inclined to Venery and fruitfull but chast withal and continent They arise from an alimentary Humor for the most part which insinuates it self into the pores of the Skin and somtimes has Cholerick blood mingled therewith and then they shed forth an ichor and turn to ulcers They are Cured with Difficulty if there be a deep redness in the Face with pustles If the same be joyned with a bloat Face and Hoarsnese of thâ—â—â—ice The Cure is wrought by Discussers and Emollients premising such things as purifie the blood Commendations are given to Oyl of Vitriol Sulfur or Tartar smeared on in the evening and washed of again in the morning with warm water wherein bean-flower has been steeped Article III. Of the Epinyctides Alphus and Leuce Epinyctides are smal Vlcers which break out of their own accord especially in the night in the eminent parts of the Body resembling Bladders which being broke in sunder blood-waterish matter runs forrh They are known by their leadenish color or blackish vehement inflamation pain enerasing in 〈◊〉 night by reason of the motion of black-Meâ—â—choly and the nights cold stopping the pores of the skin They arise from a wheyish and Melanchollick Humor like the Cause of a Carbuncle in al things save Malignity and greatness of the Tumor The Cure consists in Evacuation and Topicks that bridle and temper the churlishness of the Humor offending II. Alphus The Morphew are great Blots or spots upon the skin changing the color thereof which are spread up and down here and there with a certain roughness They arise from blood badly nourishing and they trouble Men more than women or Children They are either Black springing from Melancholy blood through default of the Spleen which are Cured after universal Remedies by good Diet bathings anointing with Mustard-seed pouder mingled with water or White but not exactly agreeing with the whitness of the skin which spring from Flegmatick blood cheifly through default of the Liver The skin is by them made white but not the Hairs and if it be pricked blood follows They are Cured more easily than the black one They require not blood-letting by reason of the coldness of the blood II. Leuce is a continued blot changing the color and substance both of skin and flesh T is known both from what is set down in the Description and because it makes the hairs fal of and others grow in their place like down The skin is flatter than in other places If prickt with a pin a watry and white liquor comes forth It springs from Flegmatick blood with which the flesh being nourished first becomes of a middle nature between that of Animals that have blood and that of bloodless Live-wights and afterâ—â—rd when it cannot change it into the form of â—ed-flesh it becomes like the flesh of Oysters and Locusts The Cure is Desperate if after rubbing it look not red If prickt no blood follow if the blot continualy encrease Difficult if it be smal if rub'd it shew some redness or be upon the hand or foot T is Performed 1. By Preparation of Humors by heaters and cutters 2. By Evacuation with Flegmagogues 3. By external Applications the parts being first rubbed with a Course Cloath Article IIII. Of the Impetigo and Gutta Rosacea Impetiâ—â—â— Or Licheu a Tetter or Kingworm are hard pustles upon the Skin which spread themselves into the bordering parts with dryness roughness and great itching T is known by what is in the definition expressed It arises from a thin sharp wheyish Juyce mingled with an earthy Humor which comes from a suitable Diet and somtimes in the Spring and somtimes in the fal it enclines to the outward parts and breakes forth T is Cured 1. By good Diet which must be neither salt nor biting 2. By Alteration and Evacuation of the Humors if they too much offend 3. By Application of Topicks Vnguentum Citrinum with Oyl of Egs live Brimstone Oyl of wax of Cloves and Camphire are commended after a somentation of Mallows Mullein and Fumitory Also Oyl of Tartar per Deliquium with a like quantity of Oyl of Wax mingled T is Divided into a Gentle sort which being anointed with fasting Spittle or with the Roots of the sharp-pointed Dock beaten with Vinegar is somtimes cured and a Feirce or Angry sort in which besides the former Medicaments a water distilled out of Oyl of Tartar with crude Mercury is good the Mercury being in a quadruple proportion to the Oyl of Tartar Joil his Experiment of the rust of Iron Book 10. Of his Practice S. 3. II. Gutta Rosacea is a Pustulous and somtimes Tuberous redness of the Face Representing Rose-colored spots T is known by the sight It s Original is from thick blood and fervent bred through default of the Liver originally or by bad Diet and carryed up into the Face and there sticking by reason of its thickness T is Cured 1. By reducing the heated Liver to its right temper with Syrupe of Cichory Straw-berryes and Coral 2. By opening the stoppages thereof 3. By Topicks as the menstrual blood of a Virgin dissolved in hot water Oyl of Toades c. See Hartman of redness and Pustles in the Face Chap. VI. Of Tumors wherein the Humor is included in a proper Membrane TO such kind of Tumors there are three sorts referred 1. Strumae or Scrofulae which are a Scirrhous Tumors of the Glandules contained in a peculiar Membrane Their Subject
Cure is hopeful if there be no pains For so Excrementitious matter is thrust forth into the hairs and the Vertue becomes stronger There is no perfect Cure seeing the Causes are not sufficiently known T is made worse by Purgations and Blood letting Some wash the Head with a Decoction of Bears-breech A certain Countrey man used Baths to Cure this infirmity in which the Patients grew at first hairy and then their hairs being out off they were Cured See Hercules Saxonia Title IIII. Of Vlcers in Particular Chap. I. Of the Gangraena THe fourth kind of external Diseases are Vlcers under which are comprehended Gangaena Sphacelus and Ambustio A Gangrene is a corruption of the soft parts especially tending to mortification proceding from the Corruption Suffocation Dissipation or extinction of the natural Heat in the Part. The SIGNES are the change of the Color in the part to black and blue Imminution or Lessening of the Pulse and Sense Abolition of the Heat Motion remains if the Head of the Muscle be intire nor is there alwaies a tumor but there is alwaies an Ulcer of necessity The Cause is the Corruption Suffocation Dissipation and Extinction of natural Heat in the part The CURE is evermore Difficult especially if it be with afflux of Humors If it be in the moister parts of the Body If it be Joyned with the dropsie It is accomplished 1. By convenient Diet. 2. By due Evacuation with Blood-letting and Purging 3. By Strenkthening the Heart against putrid vapors 4. By Defending the sound part against the speading Corruption by Defensatives and Antidotes The Differences are taken from the Causes which ar either External or Internal I. One kind proceeds from Too much cold oppresing the natural Heat of the part It is known in that sudenly a sharp and prickling pain aflicts the patient The redness of the part is soon changed into a Leaden-color a coldness and nummedness is perceived as it were in a Quartan Ague T is cured 1. By plunging the coold part into cold water or rubbing the same therewith 2. By drinking down hot potions to procure gentle sweates to excite the natural heat 3. After the heat is returned by rubbing the part with warme liquors to which intent a Decoction of Turneps is good 4. If the part be already gangraenated the parts must be scarified and fomented with hot cardiack medicaments II. Another sort springs from bindings which intercept the Blood and spirits In the Cure the ligatures must be losed Medicaments discussive and resisting putrefaction must be applied If the gangrene have made progess we must act acording to the symptomes III. Another springs from defest of Nutriments or Atrophia so called T is known in that excepting leanness neither tumor heat nor paine are perceived when pustles arise paine and fever follows In the Cure prescribe a diet hot and moist smear the Body with moistening oils Draw nourishment to the part by Cupping-glasses without scarrification and anoynting with oyl of Earth-worms c. If the Gangra in proceed scarifie the part and do as shal be here after specified IIII. Another sort springs from External Heat which happens after great burnings If so in the Cure prescribe a cool diet Temper and purge hot humors scarrifie the part and soone after wash it c. Proceed not to an actual Cautery unless necessity compel V. Another springs from the biting of venemous Beasts T is known by relation of the patient In the Cure 1 The venome is to be drawn out by an actual Cautery or scarrification Medicaments resisting putrefaction and such as draw are to be applied 3. Vlcers arising from scarrification or burning must be Cleansed in which case we must not forget to use spirit of wine VI. Another sort springs from the flowing of malignaut Humors into the external parts T is known hereby that in parts especially those which are in the Extremety of the body a blader appears under which there is a black spot there is a continual fever fainting away c. T is Cured 1. By a drying Diet into which coolling cordial Medicaments are to be put 2. By Blood-leting and evacuation if need be 3. By sudorificks which must be lustily plied in this Case Dittamus of creet Vincetoricum and Treacle are good in this Case 4. By Scarifications Cupping-glaces and application of Leeches to the part affected if blood be not otherwise sufficiently drawn forth 5. By washing the same after Incision with salt water or some other fomentation according to the greatness of the Corruption 6. By applying Vnguentum Egyptiacum or som resolving drying and putrefaction hindering Cataplasmes after washing 7. If no ammendment appear Causticks actual or potential such as Butter of Antimony or Mercury Dissolved in Aquafortis and precipitated with oyl of tartar are to be applied 8. By timely Romoving the Crust least new putrefaction arise thereunder Chap. 2. Of the Sphacelus SPhacelus is a perfect Mortification of a Part which seases not only the softer parts of the Body but the hones themselves The SIGNFS are there is no sence in the part whether it be cut or burnt Coldness sharpness and blackness of the Flesh At last it smels like a dead Carcass and the skin is by the fingers separated from the flesh beneath it The CURE consists in cutting off the manner of which see in Practitioners And then 1. Some part of the sound part being very wel bound must be cut off rather than the cutting should be practised upon the in infected part 2 Section must be made in the fingers and Toes 3. In the Feet if the Disease reach above the ankle the thigh must be cut off below the Knee 4. In the Arme very little of the sound part must be cut of c. See Fabricius Hildanus in his Treatise of the Gangraena and Sphacelus Chap. 3. Of Burnings COmbustio Burning is a solution of Continuity in the Scarf-skin and commonly in the skin it self somtimes in the Muscles Veins Arteries or Nerves by the force of fire Touching the Signs t is needless to speak seeing burning is manifest of it self The Cause is either Fire Scalding water Oyl or melted metal or Fat c. The Cure varies according to the differences In the first place the fire must be fetcht out In the next place least pain attract the Humors and blood we must use repellers and defensatives Then we must by Diet purging blood-letting Cupping-Glasses and other means diminish the same A Mucilage of Quince-seeds Extracted with Rose-water and mixed with Line-seed Oyl must be use at the beginning which wil satisfie al Indications The Differences of burnings are Vatious I. One sort is very slight which is known hereby that the burning thing which caused it was light the skin is red the pain most bitter and pricking the place is puffed up pustles arise ful of clear and white water At last the Scarf-skin comes off T is Cured 1. By taking out the fire that no Pustles may
Transpiration has place or from the straitness of the pores of the skin for hot things in an hot place if they have not freedom of aâ—â—e doe suddenly putrifie or from the obstruction of the Vessels and Passages in the Body A Feaver Ephemera especially in hot Natures Heat arising from the Nonnatural things Nearness of putrified humors 2. In the Continuance is the fault of the parts ordained for Concoction Inquination or Defilement remaining after the Paroxysme which inserts the humors herein The Cure for the most part does not oppose the Feaver so as to neglect the Cause especially if the Remedies for the Feaver doe encrease the Cause unless the Feaver be very great Yet sometimes we may resist the Feaver and neglect the Cause namely when it is remiss The safest way is so to direct the Cure to the one as not to neglect the other It is performed 1. By Blood-letting which must be practised 1. For evacuation to put the blood in motion and to cool the same 2. In continual Feavers on the third day in intermitting Feavers after the third day in all having first given a gentle Lenitive if any thing reside in the first waies and when the disease is most remiss 3. When the evil humors are not in the first passages but are mingled with the blood in Vena Cava 4. When there is plenitude It must be repeated the same day if it be done for Evacuation sometime after if for Revulsion II. By Vomiting rightly instituted with Aqua Benedict a Rulandi Asarum Roots c. III. By Purgation then Lenitives ought to precede by reason of the stomachs weakness and plenty of humors in the Mesaraick Veins and stoppage of the Belly at the beginning either by Clisters or Potions Stronger Medicaments ought to follow 1. There having preceded both Coction which must be observed in Feavers especially such as are continual and acute according to the precept of Hippocrates by which Nature assisted with art makes separation of putrid humors mingled with the blood Praeparation which opens the passages and waies by opening Medicaments here Cichories Endives and Sorrels have place and impediments in the humors are removed where syrupe of Vinegar of the Juice of Citrons have place and a dram of Spirit of Tartar compound which must be given with caution in cholerick natures by reason of the Treacle water 2. Which must be omitted if the Humors are not in the first passages but mixed with the blood in the Veins If the Humors are turgent that is either move to some determinate part or are so disposed that they may run violently into some part For the feverish matrer is wont at the beginning though little because like Leven it corrupts the rest of the humors to be moved by nature and either to be thrown out of the body or to be thrust into the more ignoble parts of the body IV. By sweating provoked by Sudorifick medicaments and that not very hot least the Fever be increased yet sufficient least the matter should be only stirred administered after other evacuations least Transpiration should be more hindered Yet is it allowable in the beginning sometimes to give strong sudorificks that the said ferment may be dissipated to dispose the patients body to sweat through the whol disease that the body may freely transpire To repeat it as often as need shal be that the matter may be accustomed to expulsion Salt of Wormwod of Centory of Carduus benedictus Spirit and Rob or quiddinie of dwarf-elder of Elder Magistery of Mother of Perle of Crabs-Eyes Antimonium diaphoreticum c. are commended V. Diet in which are principally considerable 1. Meat which ought to be of good juice easie of digestion of small excrement so that great respect be had to the patients strength the disease and morbifick Cause The times of the disease it self must be observed least the patients strength be overwhelmed The Quantity Quality and manner of the use ought to be weighed Howbeit a more liberal diet may be used the strength of the Patient being diminished by Evacuation A thin when it is weak by suffoeation that plenitude may be diminished and nature the better betake her self to the Concoction of Humors A very nourishing one to preserve the strength Medicamental to drive away the Disease and its cause At any time when the strength is decayed by Evacuation and fasting In the declination or intermission the Patients strength being suffocated by the vehemence of the Disease 2. Drink which ought to be nourishing in the Patients weakness And Medicinal in reference to the Disease and its Cause Such is a Decoction of Barley Oxymel Whey corrected with Annis-seed Fennel-seed and Cumin-seed Cooling Juleps In the first daies of continual Feavers little afterwards more plentifully In Agues when the fit is near none at al least the separation and exclusion of the putrifying Humor should be hindred when sweat is ready to break forth hot to further the same The Wine in Agues must be austere and hard because such Wine moistens further excretions and is more easily distributed into the body in continual Feavers about the beginning of Coction little in quartans before in the Progress of the Disease more In the Declination if there be weakness The feaverish heat be not intense Crudity of the matter prohibit not Head-ach and like disorders be absent Chap. 1. Of Continent putrid Feavers Article I. Of the Synochus Putrida Putrid Feavers specially considered are either Continent as Synochus putrida Causus or Continuae Periodicae or Intermittents Synochus putrida is a feaver arising from blood putrified in the vena cava without any periodical Remission and Intention afflicting alike from the begining to the End It is also termed Pur Fire because of its very great Heat Assodes because it makes the Patient very unrestible Taraxodes because it vexes the Sick with imaginary Apparitions And Pericaes Puretos the burning fever because of the Excess of burning Heat The Pathognomonick or peculiar Signs are extream thirst and burning Heat howbeit the thirst is allaied by coughing which causes an Afflux of humors To these signes are added great tumblings and tossings of the Body by reason of great heat and the acrimony of thin vapours which in every part vex the body The Vrin is little in quantity through plenty of sweat and heat which consume the same somtimes t is crude and troubled which by the settling of the adventitious parts and evaporation of the turbulent spirits doth afterwartd waxe cleare somtimes t is thin very cholorick and flame-colored The stooles unless the dung be scorched and hardened by the feavers Heat are liquid and saffron-colored choler being shed into the belly and making the dung thin The pulse is quick frequent and unequal swifter in the Contraction because the Arteries by suddain compression indeavour to expel those sooty vapours which greiviously afflict the heart Breathing is laboursome and expiration is quicker than drawing-in of the air
by reason of the extraordinary necessity of sending forth the fiery exhalations The Mouth is bitter because choler is soakt into the inner Coat of the stomach which is common to it and the mouth The Tongue is dry and furr'd and black because the burning heat consumes the moisture of the tongue and lodges its sooty vapours therein Raving by reason of the mounting of choler into the head which if it follow trembling t is a signe that the cholerick humor is transferred out of the veins into the Nerves out of the nerves into the Brain Sleep is somtimes profound especially when the fever is not exquisite but bastard because thick vapours carried into the Brain do stop the passages thereof The CAUSE is Blood putrifying through a peculiar propriety of the liver occasioned by meates of an over heating faculty or from crude cooling meats apt to be corrupted c. Which blood is either Cholerick and then the symptomes specified in the definition are more vehement and the feaver is termed Causus exquisitus an exquisit burning feaver or Flegmatick then the fymptoms are milder the fever is termed nothus a bastard burning feaver The CURE requires that we regard the Feaver Its cause and the patients strength The feaver is terminated by sundry excressions especially when the patient happens to shake upon a critical day the signes of Coction appearing and that not by reason of the shaking but because of the Excretion whose forerunner is the shaking fit T is performed 1. By blood-letting that the burning heat of the Blood may be repressed the plenty thereof diminished and its faltiness corrected It must be done at the beginning while the patient is yet pretty strong and because the violent motion of the Disease shews we must take time while we may It must not be done at al it the Feaver have its Rise from Evacuation fasting journeying in heat of Summer drying of the Veins and consumption of the Blood-water Also when Age Sex or some other thing prohibits Then Scarrifications Cupping-glasses c. must supply its place 2. By Purgation with cooling choler purges or temperate ones as pulp of Cassia syrupe of damask Roses 3. By Vomiting if there be Stomach-sickness and the stomach be vexed with Cholerick Humors which is known by the Mouths Bitterness 4. By Alteration and preparation with cooling Medicaments where note that there is then need of External Medicaments when the feaverish burning is abated with internal coolers and the putrefying Humor is for the most part drawn forth 5. By Corroboration of the Patients strength with Electuaries Lozenges c. 6. By Mitigation of Symptomes of which see in the proper Chapter 7. By Diet of which see what was said before Chap. 2. Of a continual Periodick Feaver in general A Continual Feaver keeping its Periods or Courses is Generally or Specially considered Generally considered it is a Feaver arising from Excrementitious Humors putrefying in those Veins which are of a middle size betwixt the greatest and the smallest Capillary or Third Veins abating at certain Periods of time without any Total Intermission Its Signs are that it remits of its Violence and then grows again Exorbitant at certain Periods of time but never intermits so as to leave the Patient free from Feaverish distemper more or less Its Exacerbations or Exorbitancies are not usher'd in by any cold shivering or shaking nor does any sweat follow its Remissions or Abatements It is exasperated at certain set Periods of time both by the arrival of Morbifick matter to the Heart by uneven quantities because of distance of place if it do not exactly keep its times and also by communication of new matter from the Members subservient to the second Digestion if it hold punctually its times The Causes are Excrementitious Humors which are bred in the Spleen and Liver either by their fault or the fault of the Chylus yet they may be bred in the Meseraick Veins and brought to the Liver They are not only jumbled together with the blood but also perfectly mixed therewith Their place is the Veins not the greater for so it should be a Continent Feaver nor the lesser for then it should be an Intermittent Feaver or Ague but of a middle size betwixt the great Veins and the Capillary which are smal as the Hairs of ones Head See the Method of Cure in the Sorts Article I. Of a Primary Continual Feaver Point 1. Of a Continual Tertian Feaver A continual Feaver specially considered is either Primary or Symptomatical The Primary is that which has no other Disease preceding as the occasion thereof and it is either Tertian Quotidian or Quartan A Continual Tertian is a Feaver springing from Cholorick Blood putrefying in the Branches of Vena Cava which holds continually but afflicts the Patient most every third day Its Signs are the Symptomes of continual and burning Feavers its being exasperated every third day by reason of the Nature of Choler which is so moved The Cause of its Abatement is both the distance of the place where the offensive Vapors are bred and likewise their smal quantity by which means they are all dissipated before any more can be bred to succeed in their place It s Cause is Cholerick Blood and whatsoever is apt to encrease Cholerick bad Humors in the Veins and to make them putrefie when so encreased The Cure is performed 1 By Blood-letting a Clyster being premised because the Humor is mingled with Blood 2 By Alteration Lenitives being first used in which case a little Vinegar must alwaies be added to Syrup of Roses solutive that it may pierce more easily into the Veins and not be turned by the Stomachs heat into Vapors which will cause thirst Give them fasting that Concoction may not be disturbed With Moderation lest they cause Crudities Spirit of Nitre of Salt c. are commended Topicks must be applied unto the Heart which is chiefly affected but not before the state Not cold lest the Heat driven inward and gathering Head should burn more fiercely 3. By Evacuation downwards and that in the beginning if the matter provoke if it be plentirul and the Patient strong It must be performed by gentle Medicines and let Rhubarb and Myrobalans be given in their Infusions with cooling Waters rather than in substance After Concoction if Nature be lazy 4. By Sweating and provoking Vrin 5. By Dyet which must be contrary to the Disease and its Cause Such as are upon the mending hand if the Feaver be terminated with a perfect Critical Evacuation let them never eat to satiety Often and a little Let them abstain from al Evacuations save by stool Let them use the Electuary Diarrhodon Abbatis to strengthen their Bellies If by an Imperfect so that some reliques remain let them purge the said Reliques especially by Urine Let them keep a thin Dyet The Differences are taken from the Causes One sort is Cholerick from Cholerick blood pure and exquisite which the Liver being
peculiarly affected produces This sort afflicts with sharper Heat Thirst and Watchings They are subject to it who abound with choler The pulse is vehement swift hard The Urine flame-colord and thin 'T is finished in the compass of seven or of fourteen Exasperations It is not deadly unless either some remarkable Error be committed or some malignity attend the same Another is Flegmatick or Melancholick when Flegmatick or Melancholick blood is mixed with Cholerick where together with coolers things gently warming and cutting are to be mixed 'T is termed Notha or a bastard Continual Tertian Point 2. Of a Continual quotidian or every day Feaver A continual quotidian is a Feaver raised by the Phlegmatick Humor putrifying in the Branches of Vena Cava which is exasperated every day It s SIGN is a daily Exasperation which happens towards the Evening because of the natural motion of flegm about that time with heat which is at first feeling mild but afterwards more vehement by reason of the slow and uneven kindling thereof caused by the variety of the parts of Flegm With a light coldness of the extream parts of the Body which nevertheless is not found in al these Feavers The CAUSE is the Humor of Flegm putrifying which is proper to old Men because of their coldness to Children through their greedy eating It Causes so pertinacious and stubborne a Feaver that it lasts somtimes three score daies its beginning reaching to the twentieth day it vehemently weakens the Stomach whence arises a Cachexy and Dropsie The CURE ought to be thus mannaged 1. The first passages must be evacuated with Clysters or Lenitive Medicaments in which case Honey of Roses is effectual or the Stomach must be purged with Vomit 2. Let a Vein be opened if Nature be oppressed with overgreat plenty of Humors and the Urins be thicker and redder than ordinary 3. Purge by stool when signes of coction appear premising attenuators that heat not much first with a gentle then with a stronger Medicament Agarick trochisked Hicra picra Pils of Fumitory are good in this case 4. Procure Sweatings after the matter is lessened with Salt of Wormwood and of Carduus Benedictus and a little Treacle 5. Let strengtheners be given viz. Trochisks of Rhubarb of Wormwood and of Agrimony c. 6. Let the Diet be sparing for three daies if there be Crudities in the Stomach and in the first waies At first give Hydromel or smal Metheglin to drink instead of wine or beer and let no fish be Eaten in the whole course of the Disease This Feaver is divided three manner of waies I. One sort is Simple and Exquisite which arises only from flegm and has fits eighteen hours long Another is bastard when flegm is joyned with other Humors II. Another is termed Epiala in which in the smallest particles of the body understand to the sense both heat and cold are felt at one and the same time It arises either from flegm mingled with Choler or from Glassie flegm which in that part that is putrified is hot in that which is not putrified is cold T is Cured in the same manner that other putrid Feavers are but we must observe 1. That Blood-letting is hurtful 2. That spirit of Nitre in Juniper water is excellent to cut flegm 3. That vomiting must not be neglected which may be procured by six ounces of Juniper water distilled per Descensum 4. Care must be had of the Stomach which nine drops of Oyl of Vitriol with three spoonfuls of the best Canary wil strengthen and cut the flegm or two ounces of Aquae Vitae stilled out of Juniper berries by way of Descent III. Another is called Syncopalis by reason of the swoning fits which is either Minuta so called springing from a thin Humor little in quantity but venemous and corrupt or Humorous proceeding from plenty of Flegmatick and crude humors with weakness of the stomachs Mouth frequent faintings away The best way to proceed in the Cure is 1. By Rubbings in such whose skin is more than ordinarily hard 2. By loosing the belly with Manna and Cream of Tartar 3. By Digestion and Evacuation of Humors giving such things as are necessary for the Syncope 4. By a thin Diet in which wine may likewise have place Point 3. Of a continual Quartan Feaver A continual Quartan Feaver is a Feaver arising from Melancholy blood putrifying in the branches of Vena Cava whose heat alwaies endures but is Exasperated and Augmented every fourth day Its SIGNS are obtuse Heat but sharp and pricking by reason of the Density and dryness of the putrified Humor which causes the Feaver The Pulse at first smal slow and buryed as it were under the skin afterwards great ful and swifter than in an Ague Somtimes the Patient Spawles much which argues either the overgreat moisture of the Stomach or the Spleens fault in not separating the Melancholy Humor It s CAUSE is Melancholy blood putrefying in the middle sort of Veins and springing from its proper causes The CURE is altogether hard both because it lasts to the fortieth day and further unless peradventure it be a Summer Quartan and likewise because seeing that Humor is hard to putrifie it argues there is a great cause 'T is Performed 1. By opening the inner Vein of the left Arme. 2. Cy Preparation of the Humor which must tend much to moistening 3. by Purgation with Melanagogues frequently repeated as also the use of sweaters and piss-drivers 4. by strengthening the Patient with borrage bugloss Citron juyce c. 5. by Diet which ought to be cutting moistening and cooling c. Article 2. Of a continual Symptomatick Feaver Symptomatick Feavers are such as follow upon other Diseases which being removed the said Feavers Cease Their Signs Causes and Cures are to be drawn from those Disease which they wait upon Their Differences are sundry I. One sort is That which follows the Inflamation of some inward partespecially and which is neare the heart or has a consent and sympathy therewith the Vapors which arise out of the blood shed into the part inflamed and putrifying there being communicated to the heart and heating the same It is as many-fold as the Inflamation is The Cure respects the Inflamation II. Another sort there is termed Lipyrias in which during the whole course of the Disease the inner parts are as it were burning up with Heat and the outer parts meane while cold It arises from a vehement inflamation or Erysipelas of some internal part especially the Stomach the blood and spirits having recourse to the part inflamed Either the Cure is not to be undertaken or if it be undertaken resistance must be made inwardly against the putrefaction and extream heat external after the parts have been rubbed heaters and openers of the pores must be applied In which case Oyl of Dill and Oyl of Orice Root with oyl of Vitriol and strong spirit of Juniper berries are good III. Another is slow which is hereby
must be taken III. One sort is gentle of which in the premises Another is dangerous which is known hereby that on the fourth day the fit retures with extream weakness the Urine being exceeding red and troubled It arises from burning Diseases black choler being bred by the adustion and turning to ashes of the Melancholy Humor or yellow choler T is cured with extream difficulty Article VI. Of compounded Feavers Particularly the Semitertian Feavers compound are when one Feaver is joyned with another This Conjunction is various For somtime a nonputrid is joyned with a Putrid somtimes a putrid with a Putrid and that either with a continual or an intermittent with an intermittent or contrary wise The SIGNS are the same with the Signs of simple Feavers especially the return of cold shivering and shaking after some respite After many shaking fits one hot fit or after a cold fit no sweat The ' Contaction of the pulse is most frequent by which we gather a new motion of the matter and a new fit to follow The Cure is Hard because they vex more than simple ones and there is hardly time to use help It is apparent from the cure of the simple Feavers They are variously divided I. Some are confused when two Feavers begin and end at one time so as hardly to be distinguished because divers Humors mingled together putrifie in the same place Others Implicit when the nature of each may be distinctly known II. Some are Subintrantes interfering when the fit of the second begins ere the fit of the first be over Others are Coalterna keeping due times so that one fit being done after a smal space another begins Other Communicantes when the fit of one begins presently after the fit of the other III. Some are Intermittent under which are comprehended 1. A Tertian both double which comes either once a day or twice arising from choler putrefying in two places of the Mesaraick Veins and Triple which comes thrice in two daies once in one day twice the other and springs from choler putrefying in three several places 2. A double Quotidian which comes twice in twenty four houres 3. A Quartan both double which leaves one day free and comes the two next daies following and Triple in which the Patients are sick every day Both these are wont commonly to proceed from an unseasonable use of hot Medicaments especially Sudorificks IV. Some are continual such as is the Semitertian For it is a Feaver compounded of a continual Quotidian and an intermitting Tertian vexing continually but the third day with a shaking fit It is known by the signs of both Feavers It arises also from the same Causes but most frequently from the Inflamation of some of the Bowels 'T is Cured with difficulty For it is not simple but compound It frequently overthrows the stomach It hurts the Nervous parts which is wont to be the ground of its long lasting and vehemently stirs up what lies in the depth of the Body Respect had the Feavers and their Causes Agarick among Purges bears away the Bel in this Case 'T is divided two manner of waies For 1. One is Legitimate when the Quantity of Choler and Flegm are equal Another bastard when choler exceeds Flegm or Flegm Choler 2. One is Malignant Contagious and Epidemical which is known by signs of Malignity Another is of its own Nature intermittent but with the Inflamation of some Viscus or Bowel which is caused when part of the feaverish matter is thrust with the blood into the Entrals stomach Liver and bordering places Thin a Symptomatick continual Feaver is raised There are signs of Inflamation The shaking fit happens somtimes ordinately according to the Nature of the Intermitting Ague somtimes inordinately when the Inflamation happens to a new part or when Quitter is made The Cure depends upon the Cure of the Intermitting Feaver and of the Inflamation of the Bowel See Spigelius of the subject Title IV. Of the Hectick Feaver AN Hectick is a Feaver arising from heat in such sort Occupying the parts of the Body that though it be fomented by no cause yet it continues Its SIGNS are these Heat which causes no pain because the solid parts are already altered 'T is weak at first because of paucity of Vapors biting afterward because of the solidity of the Parts In the Arteries greater because of their correspondence with the heart An hour or two after meals T is augmented because of the Humectation of the dry and solid parts freely without compression without Horror and Rigor with a great and swift pulse the Meat being distributed it ceases It also dries up al the radical moisture consumes the secondary Humors and melts al the fat in the Body It s CAUSE is either other Feavers either burning or long-lasting or Diseases of the internal Bowels as cheifly of the heaâ—â— and parts in the Chest the Kidneies stomach and Midrif Or External Evident Causes very vehement which consume much of the substance in the solid Members raise up very great and long heat yet introduce it not into the solid parts before they Have introduced it into the spirits in the first place The CURE is perfected 1. By Humectation and Refrigeration Internal by flowers of Violets Borrage Bugloss four coold seeds Milk of Perles of Corals and other gentle things least the weak heat of the Patient be overwhelmed External as Baths of fresh water of Milk of Oyl Olive Nointings of the Back-bone as with Oyl of sweet Almonds and of Violets 2. With convenient Diet Here Womans brest Milk Asses Milk are of use unless there be a Putrid Feaver Meats of Almonds Pine-kernels Pistachios c. Broaths of Snailes waters of Capons Eels River-Crabs of which see Joel in his fift Tome Aqua Mirabilis Ferdinandi which is made of the blood of a young Hog newly beheaded two pints one pound of Venice Terpentine half a pound of scraped Lycoris Corants five handfuls fifty Figs Orice Roots three ounces Pine-Apple Kernels claensed three handfuls Tobacco Leaves two handfuls Crums of bread half a pound distilled in a Glass Limbeck The dose is two ounces with Sugar See him in his Observations History the 21. An Hectick is divided two manner of waies I. One sort is without a Consumption when the dewy moisture of the parts is not yet consumed When it begins t is hardly known unless a man may gather it from the bodies leanness its Chollerick Complexion and straitness of the Brest In the Progress and Ephemera being present the Heat lasts beyond a day with encrease about the third day the heat is encreased after meat Another is with a Consumption and is two-fold the one cald Marasmodes when the dewy moisture is consumed and the fleshy substance begins to be preid upon Then the body grows leane the Temples fal the palms of the Hands and soles of the Feet are hot and those other accidents follow before mentioned The stooles have a greasie substance among them It is
Strike in it must be called forth either by fixing a Cupping Glass or with a 0734 0 pultis of Radish Root and Scrophulary the great with a little of Salt Vinegar When it comes far out it must be drawn to the more ignoble parts from the Neck to the hollow of the hand from the Groins to the soles of the Feet To this purpose there is an useful Cataplasme made of two ounces of the greater Scrophulary Root Radishes one ounce beaten and with one ounce and half of the strongest Leaven and boyled in Wine Vinegar and so made into a pultis and applied to the Palm or hollow of the Hand or the Sole of the Foot or that side on which the bubo is It must be renewed three or four times in a night Being Fixed 1. it must be often drawn with a Cupping-Glass and store of flame without Scarrificatian 2. The Cupping-Glass being removed let it be covered with a ripening Cataplasme and drawing made of the Roots of Scrophularia Salt Black Sope and strong Leaven boyled in Vinegar 3. After six hours let a Cupping-Glass be again set on and let the Skin be cut with a Lancet or smal Knife 4. Let a Cataplasme ripening and drawing made either of a great Onion hollowed filled with Treacle and roasted in the Embers til it be soft or of the middle rind of Elder boyled in Cream and mixed with Leaven be laid on at Night and often renewed 5. Let the Tumor the following day be either cut or brok and the Blood water squeezed forth and let a mundifying or clensing plaster of Turpentine wash't in Scordium water and honey of Roses mixed therewith be applied Touching the Carbuncle and Feaver which is also entertained by certain symptomes see in their proper places See concerning the Plague Peter Salius Diversus Joel Tom. 5. Sect. 3. Septaliws in a peculiar Treatise and Valerius Martini And so much cancerning Feavers THE EIGHTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Of the Diseases of the Head Title I. Of the Diseases of the Brain Chap. 1. Of the Distemper of the Brain without Matter HItherto we have treated of Diseases in the general the Particular now follow and these are either such as are not Venemous or such as are Venemous Unto those belong the Diseases of the Head the middle and the lowermost belly commonly called the three Regions The Diseases of the Head are either those of the Brain or of the Eyes or Ears or of the Nostrils or of the Tongue or of the Lips or of the Face or of the Mouth or of the Teeth or of the Gums or of the Cheeks or of the Wesand or Windpipe or lastly of the Jaws and Tonsils Unto the Diseases of the Brain are referred as thereunto belonging a distemper which the Latins cal Intemperies the straightness or stoppage of its passages Commotion Inflamation Hydrocephalius being a cold Disease thereof proceeding from water and Flegm Contusion wounds and Fractures The distemper or Intemperies either is without matter or else with matter The Distemper of the Brain without matter is the declining thereof from its due and right temper through some external causes For the Signs and Causes see of them in the differences The CURE is performed by Alteration and Purgation lest that the Body if it be either Plethorical or Cacochymical should attract more Vapors It is divided into four species or kinds I. the first of them is hot when the Brain declines unto an immoderate or overgreat heat It is dscerned and known by the beating of the Temples the agitation within the Cranium or Skul by the sleep which is either none at al or else very short and by the instability and mutabillity of the Imagination It ariseth from external hot causes to wit Aire meat drink exorbitant affections c. It is to be cured 1. By alteration and that by cooling mediacments as wel internal as external and these not over strong especiallly in children and women having in them a mean and indifferent astrictive quallity left that the humors should be either attracted or dissipated not too frequently applied and made use of lest that they should introduce and cause a kind of sencelessness or stupidity and then lastly they are to be mingled with dissolvers when the distemper is in 't is declination The cheif and principal of them are the leaves of Lettice and Purslan the flowers of Roses Waterlily white and Red Popy and Saunders wood together with those medicaments that are pre-prepared and made out of those such as are fomentations which are to be corrected with such things as penetrate by reason of the thinness of their substance as doth Vinegar c. These remedies are to be applied to the forehead Temples and Sutures So soon as they begin to wax hot they are to be changed neither are they to be tyed on or covered with thick clouts or linnen often doubled For Embrochations and washings of the Feet are most in request the Leaves of Sengreen vine Leaves and the Leaves of the Willow Tree The flowers aforesaide as also of the Elder Tree and the root Rhodia a cataplasm made of willow Leaves and Vine buds 2. By Evacuation for the cause before alledged 3. by a diet inclineing to coolness more than ordinary II. The second is Cold when the Braine declineth unto an excessive or over great coldness And this is known by the swelling of the eyes the palness of the face the heaviness of the head propension to sleep slothfulness and slugiggishness It proceedeth from things external that either are cold in themselves or at leastwise induce and cause cold It is cured 1. By Evacuation if the body be Cacochymical 2. by Alteration which is effected by the use of things External and internal that are hot and these must be taken after meat and never before The cheif of them are the Roots of Piony taken out of the earth at the waning of the Moon the root of round Aristolochia Castorium The flowers of staechas or cotten weed primrose pealings of the bark of the linden or tyle tree of flowers of lillyes of the vally of Rosemary Bettony Marjoram Black chery water the water of swallows Treackle water The Quintesence of Rue of Rosemary of Succinum or yellow amber Of condites the Indian met nutmeg treacle Mithredate the restorative Confection called Anacardina and Alpermes Distilled Oyls as of the Wood Guajacum and of sassafras taken either in waters or else in smal morsels The leaves of Rue Wild bettony and the right Verveyn Balsams of Lavender Rosemary yellow amber Cloves nutmeg c. 3. by a diet somewhat inclining to warmth where likewise suffumigations have their use and place III. The third is Moist when the brain inclineth unto an overgreat humidity or moistness It is known by the humidity that appeareth in the nostrils and the eyes by the Catarrhs that follow upon it and the propension unto sleep It ariseth from some external causes
that are not natural and such as produce humidity such as are showers of rain the moon beams c. It is cured 1. by Alteration we his archived by such things that being in their own nature moderatly drung are mingled with coolers and not strong sented or perfumed but internally by decoctions and especially that of China Guajacum into the which a little veal broth to allay and qualifie its driness is to be put Externally there must be prescribed Embrocations and those little baggs that we commonly cal sacculi made of millet or Hirse salt throughly dried by the fire the roman nigella or nightshade commonly called Gith or pepper wort c. 2. by a diet conformable unto that that is pâ—escribed to such as use the decoction of Guajacum IV. The fourth and last species is dry towit when the Brain recedes unto an excessive and immoderate dryness It is known by the hollowness of the eyes want of sleep deformity of the face the sharpness of the senses and the Causes afore going It arises from External causes but more especially from the over great evacuations of the body excessive and frequent waterings fasting or an over spare diet melancholly or sadness of the mind and overmuch Study It is cured 1. by Internal moisteners as for instance the emulsion of the greater cold seeds and Violet flowers or externals such as is the top or froth of whey 2. By a diet more than ordinarily moist such as is the fat broths made of yong flesh eggs rere boiled and sup't up and a bath of sweet water c. And here Salt must be very sparingly eaten or rather altogehher carefully avoyded V. A Fifth and last Species or kind of the Brains distemper is Compound the Nature and reason whereof may be known from the connexion of the simple or single distempers so that it is no way requisite or necessary that we here speak any thing more concerning it Chap. 2. Of the Distemper of the Brain with Matter THe distemper of the brain with matter is the declination thereof from its due temper caused and brought upon it both by external and internal causes towit the humors and flatulencies or windinesses The SIGNS are the Progress of the internal causes and the alteration and change of the disease at the first apearances of the Moon The CAUSES are internal towit humors and Winds or windiness which proceed either from the weakness of the brain or else from the repletion of the inferior parts The CURE is performed I. By an Evacuation and that as wel General where a regard must be had unto the Pills that are to be taken towit that in respect of their ingredients ought to be made most efficacious and then given in the morning unto the whole Body which ought to be purged unto the absence and presence of a Feaver lest that there be an Evacuation of such things as are not concocted unto the Clysters that are to draw back the peccant matter and these are by no means to be omitted as Special where in the first place are to recounted those Medicaments that are usually thrust or put up into the Nostrils we cal them Errbina and these ought to be such as are most of al drying provided notwithstanding that there be nothing amiss in the Eyes and Nostrils Secondly Those things that provoke unto sneezing we term them sternutatoryes especially if the Head be filled with Vapors and within cherish a gross and thick snotty matter Thirdly Apophlegmatisms if the Lungs be free from an Ulcer and the Humors not over thin Fourthly Those Remedies which we cal Cauteries Setacea Topicks c. II. by Correction of the Distemper It is divided in a Threefold manner I. The first is according to its Essence when the matter is generated in the Brain It is known by this that those Symptomes that follow upon the Affect do presently appear that they continually afflict unless haply the matter be generated in the Head by certain intervalls and degrees and that the Causes affecting the Head went before It ariseth as wel from a fault in the Brain through an ill concoction as from the retention of the excrements thereof by reason of the hurting of the expulsive Faculty or its passages The Cure differs not from that which hath been before spoken of and of which we shal speak further in the following discourse Another division of the Brains distemper is by Consent or sympathy when the matter is transmitted and derived unto the Head from some other place It is known by the general signs of which we have spoken in the first Book and first Title thereof It proceeds likewise from the same causes of which we have there at large treated In the Cure 1. We ought to begin with the part transmitting but if there be any Crisis there is nothing to be applied unless there be a vehement motion of the matter 2. There must be a Revulsion or drawing back by opening of a Vein in the Arms or Thighs by Cupping-Glasses by Clysters by frictions or rubbings and by cauteryes 3. There ought to be used repulsion or Driving back by Medicaments made of Vinegal and Roses we cal these Oxyrrhodina unless there be a discovery made either of a Feaver or a Catarrh or overmuch watchfulness and want of sleep by reason of some wound either in the Cranium or skul or else in the Membranes of the Brain 4. There ought an interception to be made The Differences whereof are various according to the Variety of those parts from which the matter is sent 1. From the whol body as in Feavers and then we must rather study to make use of revulsion and Evacuation than Repulsion or driving back 2. From the Stomach Spleen Liver Rains Womb Diaphragme or Midriff and the External parts And then it is known by the effects of the transmitting parts and accordingly the Cure is to be taken from them II. Another is from a wind or vapor which is known by the sense and feeling of an Extension or stretching out or by an heaviness in the part affected a kind of singing noise in the Ears the extraordinary beating of the Arteries and the Vertigo or lightness and giddiness of the Head It ariseth from the same causes of the which we have already spoken in treating of the causes in general unto the which in special there may be added as thereunto appertayning scents or smels to wit things of an ill Savor Vapors arising from Metals the smoke of coals c. It is Cured diversly according to Nature and diversity of its species or several kinds It is divided in a two fold manner 1. The former division is taken from the external Causes as Metalline Vapors c. And this is expelled by Zedoary by the smoak of coals in which case as the remedies thereof there is required an Air free from al il Savors Treacle Water and Sternutatories or such things as cause Sneezing by the wind either
making an Issue in the Neck if the Distemper be altogether refractory and wil not give place noâ— yield unto the aforesaid Remedies VI. By Corroboration which is effected by appropriat Cephalicks VII By a Diet that is opposite and contrary unto the Cause and the distemper It is divided into that which is from thick Flegm where preparatives have their place as being of singular use neither may blood-letting in this case be safely allowed of and that which ariseth from Flegm that is thin and fluid and which excites and begetts a Catarry and in removing of which sneezing wort and al sorts of Sternutatories and Errhina liquid Mediâ—aments to be puâ— up into the Nostrils that are over strong and violent ought carefully to be avoyded IV. The Sercus or Wheyish distemper oâ— the brain is known by those signs and tokens that are before mentioned It is derived unto the Head either sensibly and by degrees especially together with the Arterial blood it self and likewise the spirits or else al at once by reason of some external more forcible Causes to wit overmuch drinking of wine anger violent exercises c. It is Cured I. By the Evacuation of the serous Humor from the Brain without the premising or use of any preparatives whatsoever This Evacuation is performed 1. By a purgation of the Humor with such Remedies as draw forth water 2. By blood-letting especially if there be present any Feaver although never so gentle and an extraordinary heat which moveth the serous part of the blood unto the Head and in case the accostomed Evacuation be suppressed 3. By the Exhibition of Sudorificks that are over hot as for instance Antimonium Diaphoriticum Bezoarticks the Lunar Fumary c. 4. By the drinking of Diureticks which are likewise very good and profitable to the spleen II. by Correcting the Distemper for which purpose we usually prescribe the powder of a mans bones drying Lotions c. III. by Diet touching which fee and consult the practical Physitians V. The Melancholy distemper of the brain is known by the dotage that accompanyeth it together with fearfulness and sadness a pain especially on the left side turbulent dreams and oftentimes a sudden loss of al motion Is Proceedeth from Causes that generate Melancholy The Cure hereof is easie in its beginning It is Accomplished I. by the reiterated Preparation of the Melancholly Humor after the Purgation of the first waies and passages by the use of those medicaments that both heat and moisten among which the syrup of apples is excellently good II. By the evaccuation of the said humor by purging potions at first such as are genttle but afterward such as are stronger in opperation and here for this purpose Lapis Lazuli is much commended adding thereunto such things as moisten after which there must immedeiatly follow an evacuation by the frequent use of those remedies that we term Errhina and other such like III. by corroberating and strengthening the Brain by the confection Alkermes with other suchlike confections IV By diet iâ— the which vinegar in regaâ—â— that it doth ferment and as it were leaven and sowr the mellancholly humor is principally to be avoided It is divided into that that is Essencially such in which likwise the opening of the cephalick or head vein of the left arme and a copious letting out of the blood if it be black but a more sparing evacuation thereof if pure hath its place and use and into that which ariseth from the suppression ether of the Monthly Courses or of the hemorrhoides in which case revulsion and the opening of the Ankel vein is to be put in practise VI The Atrabiliary distemper of the brain is Known by the want of sleep and extream dobting of the sick party and it arisath from such causes as foment and supply a melancholly Juyce and together with these as it were burning of the same aforesaid Juyce the extraordinary heat of the bowels may do very much The Cure is very difficult in regard that it to far receeds from the Temperament of the Brain It is atchived I. By an often repeated preparation by coolers and moisteners an evacuation of the first Vessels or passages being before premized That compound which we commonly cal Cachund of which hath already bin spoken in the melancholly destemper hath here likwise its place and use II. By a frequent and reiterated evaccuation of the black choler by medicaments such as they term Melanagogues well mingled together with Moisteners as also by those things that peculiarly and properly purge the brain III. By digestion and that by Topicks and sweet water baths if yet the distemper wil not give place nor be removed then let the patient drink the whey of milk together with such things as are specifical remedies against melancholly and of a moystening quality It is divided I. into that which is such in its very sence wheâ—e the opening of the cephalick or the common Basilick vein hath its place and that which is caused by the suppression of the courses or the Hemorrohides of the which sufficiently above II into that which is from the blood burnt or over heated in which distemper the sick party is evermore very apt and propense unto laughter And this is to be cured by letting blood in the same manner as was that that was generated by yellow choler in which a bruitish kind of dotage and fierce anger gets the upper hand and that likewise that had its original from the Melancholly humor in the which pensiveness or sadness and a continued silence or else haply after a while that this silence is broken a tedious extream talkativeness hath the predominance c. Chap. 3. Of the straintness or narrowness of the passages of the Brain THe Straightness of the passages of the Brain then happeneth when the said passages are either obstructed or compressed by their causes Those passages are the pores of the Brain which is of a spungy substance the pores or passages of the stomach the Veins Arteries Nerves and the sutures of the Skul The SIGNS are taken from the diminution or else the utter abolition of the actions of the Brain The Causes are either obstruction from pituitous and flegmy humors blood poured forth out of the vessels grosse and thick Vapours or otherwise Compression and this either from the skul by reason of some violence offered thereunto or else from blood distending the vessels from whence they are affected with a flegmatick distemper or else haply such as is shed forth and fallen into the substance of the body by reason of the a bundance of its thinness or acrimony apituitous or flegmy humor having first obstructed the Basis of the brain and lastly by an hard tumor or swelling The CURE is Various according to the variety of the differences The differences are taken from the many and several causes I. One difference is from Causes External to wit the fumes that arise either from coals beer or
Functions be hurt and empaired if there be a trembling of the Tongue if a kind of cold stiffness infest and invade the Patient after he hath voided downwards white Excrements if there appear to fal from the Nostrils a black drop and that such is sincere or bright in regard that it proceeds from a very vehement adustion and lastly if they scrape together Straws c. It is Performed if at al I. by Revulsion or drawing back of that Humor that floweth in either by opening of the Cephalick Vein or else 1. Of al the Median or middle Vein if there be present great store of the Humor but yet not unto fainting or swooning away or otherwise by Cupping-Glasses with a profound and deep Scarification in the parts both above and beneath or else by some other kinds of Revulsions 2. By Repulsion or driving back by the frequent use of Repellers unless the matter tend towards and as far as the skin of the Head or else by the applying unto the head being close shaven Remedies a little warm tempered and qualified with Vinegar that is not over strong if there be not present either an internal or an External heat or if there be any such heat then by Medicaments that are cold 3. by Interception by the rolling of swath bands about the Neck 4. by a gentle Purgation II. by Evacuation of the Humor that is already flown in and this must be performed by opening the Veins of the Head those of the Nostrils those under the Tongue and the Aplication of Vesicatories and a Cupping-Glass unto the fore part of the Head By Discussion through the use of Medicaments made up of discussives the Alabastrine unguent III. by a Diet in the which emptiness and over long fasting must be avoyded as pernitions and extream hurtful c. It is divided after a Threefold manner I. The first species in the division is that which Precedes a Feaver in which we are allowed to purge while the feaver is absent more especially if there be present an extraordinary cacochimy cupping-glasses are to be imposed applyed unto the very top of the crown with scarification following therupon Another kind thereof followeth the Feaver in which likewise we may purge with those Medicaments that are gentle and moderate especially if the turgency or heightening of the Matter require it II. Another sort thereof ariseth rather from blood than Cholor in which a greater quantity and portion of the blood is to draw forth by opening of a Vein but then there is likewise another which proceedeth from Choler rather than from blood in which we ought rather to purge than use any other means III. Another is an Inflamation of the Membranes of the Brian unto which the signs before alleadged do very fitly agree Another there is of the substance of the Brain it self in which there is at the first a pain seizing the Head which by the hinder part thereof penetrates even unto the very nook of the Neck In this distemper the sick persons do not dote but yet notwithstanding they lose both their external and internal senses they likewise speak very little or not at al c. Chap. 6. Of the Tumor Hydrocephalus in the Head HYdrocephalus is a swelling of the Head arising from the collection of some serous or wheyish Humor in some one part or other of the Members that constitute the Head There is in this distemper no need at al of SIGNS for the disease may be sufficiently known by the very sight of the party It is rather the disease of Infants than of persons of years and strength The CAUSE is a Humor that is waterish wheyie and somtime dreggy yea moreover also bloody The CURE is exceeding doubtful as wel because the distemper is in a Noble part as likewise because the subject part is very tender as also in regard that an Apoplexy or a Lethargy do easily soon seize upon the party But the cure if there be any is to be Performed I. By drawing forth the Water with Hydragogues sweats Urine Medicaments that insensibly discuss and dry and by opening the part affected II. By Reducing of the Brain unto its pristine temperament by hot Cephalick Remedies The Difference is taken from the Scituatiof the Humor For one kind hereof is from a water sticking between the Skin and the Pericranium and then the Tumor is soft transparent by candle light or the light of the Sun as also it being void of pain yieldeth unto the touch and immediatly ariseth up again being pressed together it exhibites a motion of a fluctuating water It yeeldeth more easily unto the Medicaments that are prescribed and may be wholly taken away be the alone opening and cutting thereof There is another Species or kind thereof proceeding from a water as aforesaid consisting and residing between the Pericranium and the Cranium or Skul Then a pain affecteth the party and in this case a two-fold Section or cutting part affected is to be administred Another kind hereof there is from a water as above said gathered together betwixt the Cranium or Skul and the Membranes Then the swelling is not so soft as usually but the pain is far greater and the forehead is born out forward more than usually and likewise also the Disease is almost 〈◊〉 not altogether incurable Chap. 7. Of the Contusion or Bruising of the Head A Contusion of the Head is a smiting or knocking together of the same the external part thereof mean while for the most part appearing sound and entire by somthing that is weighty hard obtuse and blunt The SIGNS are manifested by those things that went before the blood is poured forth out of the Veins and there is an excited soft Tumor or swelling black and blewish and yet without any great or much pain The CAUSE is expressed in the definition The Skin being for the greatest part whol and unhurt there are notwithstanding smal Veins opened under the same The CURE is in such manner to be instituted that I. The great afflux or flowing to of the Humors may be prohibited and that by blood-letting if the Contusion be greater than ordinary as also by laying to and applying repellers and astringents which are often to be removed and changed lest that they become overhot The hair of the Head being close shaved off the place is then to be anointed with the Oyl of Roses about the time of the pains mitigation II. Let the Blood that is poured forth under the skin be Evacuated by the insensible Application of a betony plaister the Cerot or searcloth of Vigo that of simple or red Lead or de minio de Matris ilva de quatia dei c. III. The Suppuration if it may not be impeded is to be helped on furthered by Triapharmacon which is compounded of one part of sweet Oyl two parts of common water wheaten Meal as much as wil suffice unto al which the Yolk of an Egg is to be added
of the Womb. The CAUSE is whatsoever impedes or hinders and prohibites the influx of the Animal spirits unto the Organs of the senses and withal Renders those spirits more unapt unto the Animal actions and operations The CURE is Doubtful if it follow upon the extream imbecillity of the Patients strength occasioned either from some most acute Disease or else from some deplorable and grievous affect of the brain if it chance in continual Feavers if it hath its original from some malignant cause There is almost no Cure to be expected if it take its rise from hot and dry Diseases for then by this means of necessity there must needs be an extraordinary cooling in the brain if the malady grow to be so sad and grievous that both the sense motion and the very breathing it self is taken away In what things the Cure cheifly consisteth and by what means it is to be wrought see further in the various differences thereof It is divided according to the variety and difference of the Causes I. There is one Species thereof that ariseth from the Humidity or the frigidity of the Brain And then the matter in the Head ought to be Evacuated and discussed in the former of them by the irrigation or the frequent washing of the Head with the sharpest sort of Vinegar throughly mixed together with Roses and Camomil Flowers but in the latter of them by anoynting the Head with Dil Oyl a little warmed And in both of them we must remember to put in practise the frequent use of Apophlegmatismes Errhines and sternutatories Another kind thereof there is from Narcotick Vapors inducing and bringing in a certain dulness and unaptness for any thing upon the Animal spirits which said Vapors either are from over much drink and then the drink yet remayning in the stomach Vomiting is to be excited and provoked Or for the greatest part they are conjoyned with Feavers Then 1. The Vapors are to be drawn back either by opening a Vein in the Thighs or by Clysters frictions Cupping-Glasses c. 2. The same Vapors are likewise to be repelled and driven back by Oxyrrhodines to wit Medicaments consisting of Vinegar and Roses actually hot and applyed to the Coronal suture unto which former remedy let the Vinegar that is added be in a plentiful measure or else which is yet better they are to be discussed with Rue Castoreum Vinegar c. 3. Great caution must be had lest that those Remedies that are exhibited and administred to expel sleep and drowsiness should any way augment the Feaver Or otherwise these Vapors afflict without those feavers And then they are elevated and drawn up from the stomach Womb or some other inferior part These are to be taken away by the very same remedies as the former were Those things that infringe weaken the strength of Narcoticks are Rew with Vinegar the balsam of Rice Castoreum Nightshade snuffing up the fume of Brimstone c. As for the Diet what it should be see and consult the Practitioners Chap. 3 Of the Symptomes of the Imagination A Single Article of the Vertigo or turning round of the Head THat Symptome of the Imagination which likewise very often hurts even the common sense also is called Vertigo which is nothing else than a false imagination of ones turning round dizzy reeling about arising from an inordinat and circular motion of the Animal spirit in the Forepart of the brain The SUBJECT hereof is the brain according to its anterior or forepart as it is an organical part as it containeth the Animal spirits and as it is endued with certain passages in which the said spirits are moved Of SIGNS there is no need at al. Unâ—o some of them al things seem to be turned about as in a Ring or Circle others of them have their very sight obscured and again in some of them there is sensibly perceived a sisling Noise and as it were a kind of singing in the Ears c. The CAUSE is whatever either suppeditateth and generaâ—e h Vapors of themselves and in their own Nature such as are garden Radishes Garlick Mustard Wine c. Or else 〈◊〉 as is wont to stir disturb and agitate the Humors and hitherto appertaineth purgation as being cheifly requisite in this case The CURE is very doubtful and scarcely to be hoped if this distemper happen to Old people because they have but a weak brain if it continue long because it is then the forerunner and indeed the foreteller likewise of the Epilepsie or the Apoplexy if in it the Head or the whol body seem to wheel and turn round The Cure is Performed I. By Discussion and then let the holes of the Nostrils be annoynted with the Oyl of Marjoram and the Oyl of Nutmeg or else together with the aforesaid let Rose water and Vinegar be put and applied thereunto let the Temples and the hand-wrists be anoynted with rose vinegar and Rose water mingled with a drop or two of the Oyl of Cinnamon or else let them be throughly wet and besmeared with the Juyce of the black beet let the pallate be annoynted with Treacle II. By opening a Vein if it be over powerful and violent III. by Revulsion if it proceed from the inferior parts IV. by a Diet in the which meats that are known to generate many Vapors beer brewed with much Hopps and such like hurtful things are carefully to be avoyded For a preservative Caraway seed macerated in Wine dryed and dayly taken about the time of going to bed is held to be very excellent The Differences are taken from the Causes I. One is from Causes that are Evident exagitating and exasperating the spirits and such are a turning round of the whol body a long while together looking much and steadily upon things while they are moved circularly and a prospect or looking downward to the earth from a place of an extraordinary height For so by this means the spirits by the beholding and looking upon any thing unto which it is not accustomed or that is dreadful and terrible are diffused and drawn back It is known by the relation of the sick party It is cured by rest and sleep If it yet be not altogether ceased then we are to conclude the Cure by frictions If it be from Hunger and fasting a piece of bread dipt in the Juyce of Pomegranates or in sharp sowr wine is first of al to be administred II. Another is from the narrowness or Streightness of the Passage of the Brain through which indeed the Animal spirits are moved but when they are thus impeded and hindered they then retreat back again It ariseth either from a partial obstruction which if it be caused by gross and thick Vapors it is soon dissolved if it hath its rise from serous and Phlegmatick Humors it is then of a long continuance and there is withal present a sense of fluctuation In the Cure there ought to be a respect had unto the Nature of the
impostums of the Brain abundance of Yellow Choler c. Or else they exalt the same such as are hot and dry temperaments that cause an inordinate motion of the Animal spiritts Or else lastly They impede and hinder the motion of the Animal spirits and such are a less than is requisite conformity of the head and brain the over great thickness of the same c. The CURE respects the several Causes and may be taken and understood by what hath been already above spoken Those medicaments that are appropriated either for the conservation or restoration of the memory are reputed and accounted to be that they term Tinctura lunae taken in the water of lilies of the vally The pouder of Trithemius of which there is sufficiently spoken in the miracles of Mullerus the Anacardine Confection in weight half a dram thereof exhibited and taken with al possible cautions unless haply an hot and dry temperament hinder it Those things that resist and therfore are good against a cold and moist distemper are that water that Practitioners cal Aqua Magnanimitatis Cunradi The lily of the vallys balm frankinsence in weight half a scruple taken with wine Nutmeg c. Toughing which consult the practitioners in Physick Article II. Delirium or dotage A deliry or dotage is a depravation of the Phantasie and the ratiocination Faculty arising from the bringing and presenting of an absurd and inconvenient Phantasme The SIGNES of a delirium beginning are garrulity or talkativeness in a person of few words and so on the contrary fierceness in a quiet and mild person ribaldry and scurilous speech the quick motion of the eyes in regard that they are associated with the brain Arteries veins and nerves a pulse with perturbation in the Hypocondria But the signs of that that is present are speeches and actions that the patient hath been altogether unaccustomed unto and which in themselves are indeed very absurd and incongruous The CAUSE hereof is an absurd Phantasme having its rise and original from a default in the Animal spirits as wel those that are fixed as those that are movable which ought to be pure clear and transparent temperate and regularly and ordinatly movable For if they swerve from those aforesaid requisites there is then an error and mistake communicable unto the Phantasmes about and upon which the Reason is employed and busied and then those Phantasms are represented unto the intellect or understanding otherwise than they ought to be The CURE is different according to the variety of the differences It is divided into a dotage that we cal primary and that which we cal sympathetical I. The Primary is that when the brain is in its one proper substance and essence that is in it selfe affected and this is either with a feaver of which more in the Chapter following or else without a feaver containing under it as wel that wherein Paraphora and Leron that is to say an error of the mind or a dotage and busying of it about toies and trifles proceeding from the imbycillity of the principal faculty by reason of an immoderate flux of blood or else by reason of long continued watchings as that we term downright folly in the which the principal faculties are not only impared and diminished but likewise extreamly depraved and corrupted II. That which is sympathetical when the Cause is communicated from other parts It is disposed and divided into that which is without a feaver which comprehendeth under it temulency or a kind of drunkeness and distemper brought upon the spirits either by wine or beer or else from hemp darnel henbain the dry sticks of that they cal Levanthe the rinds of mandragoras opium and the like Those things that preserve are the smal strings of wormwood and Rew eaten upon an empty stomach the cabbage or colewort and a morsel of bread eaten after a draught as aforesaid those things that accomplish the cure are vomits and the use of things Acid and sharp c. and into that that is with a feaver which often hapeneth in acute feavers and not otherwise And then the feaver is at hand and presently appeareth if it shew it selfe in the very begining without any apparent signs of concoction it introduceth a Phrensie which is quallified in great part removed by sleep but if it happen to be with concoction and other hopeful signs and tokens then it is Critical and decretory It is cured 1. By revulsion by the opening of a vein in the feet and other such like remedies 2. by tempering and allaying the extraordinary heat of the blood in the head by topical or local medicaments 3. By the application of hypnoticks or medicaments caussing sleep 4. both by the evacuation of the matter which hath already seized the head and this is to be done by openining either the forehead or the tongue vein and likwise by the discussion of the said matter by applying unto the head pidgons dissected and cut in midst and withal the decoction of Camomile c. Or else it happeneth in an inflamation of the parts and especially the diaphragme And then the breathing is unequal the Hypocondria are violently drawn back more inwardly there is likewise Joyned therewith a deliry or dotage together with a Cough and a pain of the side The Cure ought to proceed according to the Nature and condition of the part affected Article III. Of a Phrensie A Phrensie is a perpetual and Continual deliry or dotage arising from the Inflamation of the Membranes of the brain and afflicting the Patient with a continued Feaver The SIGNS are a perpetual doting a continual Feaver incessant watchings and short and frequent drawing of the breathe The CAUSE is an inflamation of the Membranes of the Brain of the which we have already above treated in this very Book The CURE ought to be ordained according to the Disease the Nature of the watchings and the suppression of the Urine In this distemper Venesection or blood-letting is one especial if not the only Remedy But then a plentiful measure or as we say good store of blood is somtimes to be drawn forth at the Nostrils by putting up a Feather made into the fashion of a Star even unto the very Root of them and forcibly turned about therein But touching what we are now upon more may be seen in what hath been already delivered concerning the Inflamation of the brain Neither must we forget by reason of those aforesaid watchings together with repellers to mingle Hypnoticks that cause rest or else they ought to be administred severally and by themselves alone as we see good Three grains of Opiat Laudanum cautelously administred in a convenient liquor least the Phrensie should by any means degenerate into that Disease we cal Veternus that is the Lethargy or drousie distemper are very much commended This said mutation or change is wont to happen either of its own accord or else because the sick persons neglect cannot endure to reply unto
then the peccant matter assumeth unto it self and worse and more offensive quality if it happen to be in a burning Feaver and that a doting follow thereupon for then some great and grievous Disease succeedeth and the strength and powers of the body are wasted and consumed if the sick party Shrink and Start when he â—s toucht for then the Nerves are become over moystened by the peccant Humor But when we set about the Cure and that there be any hopes of effecting it it is then to be instituted and prosecuted according to the Nature and disposition of the several Causes and differences touching which we purpose to speak further in the sequel The Differences are al of them taken from 〈◊〉 the Causes introducing the same I. One is from External Causes especially such as are Malignant and Narcotick as to instance Quick-Silver Poysons opiates Henbane the Retention of the Secundines or After-birth and the suppression of the blood after delivery al which are to be removed Another is from Causes Internal of which we shal speak more in the Second Difference II. Another is from the Scarcity and want of Spirits which either are not generated and bred in a due and fitting sufficiency by reason of a cold distemper of the brain and in this case in the Cure thereof the Nature of the Disease it self ought heedfully to be regarded or else after they are generated they come to be dissipated wasted and consumed by an excessive heat an over great Evacuation and some long continued tedious Diseases and here we are to deal and do our endeavour by prescribing a fit and convenient Diet. Another there is from some faults and faylings in the Nerves themselves which may be I. A Cold and moist Distemper of the brain and there are some signs present of a misaffected brain The Cure must turn towards and Eye the Distemper For those Remedies that are taken inwardly these following are cheifly commended VIZ. The Essence of Balm and stoechas of Arabia Among the Medicaments that are to be externally administred these are highly approved of to wit the Oyl of the flowers of Trifoyl or the three leaved Grass vulpinum or the oyl of a fox the oyl of pepper the Oyl of castor c. 2. A Plethory when some wonted Evacuation is suppressed then in this case let a Vein be opened 3. An Obstruction of those same Nerves such as we term partial ones or a stoppage of them but in part whether it proceed from thick and gross Humors or else from Gluttony and sur-charging the stomach and other such like Causes See further hereof in the subsequent Cure of the Palsie Article V. Of the Palsie The Palsie is a spautaneous and voluntary abolition of motion in the parts without any the least hurt of the Reason arising from a defect and want of the Animal spirits through some fault and errour in the Nerves There is here no need of SIGNS the motion for the most part perisheth the sense and feeling stil remayning there is likewise a kind of softness and tenderness in the part affected a coldness also a weak pulse c. The CAUSE is a defect and fayling of the Animal spirits which happeneth by some fault of the Nerves There is no CURE at al to be expected if it chance to be from an extream and forcible Relaxation or Loosing of the Vertebrae in regard that then the Nerves are greatly crushed together and very much bruised insomuch that an inflamation followeth thereupon if it proceed from an incision or cutting of some one of the greater Nerves or the the spinal Marrow because there is then no Hope of a Coalition or closing together again of the incision The Cure is likewise exceeding Difficult and hard to be effected if it happen unto aged people in regard that it denoteth an imbicillity of the heat if the member be extenuated and the natural vegetative heat thereof be changed and altered especially if the eye on that side be impaired because it argueth then that the heat is wel nigh extinguished if there be many of the nerves and muscles affected if it succeed and follow upon an Appoplexy in regard that then the cause is over vehement But the Cure is more easie if the resolution be in the thinges or feet because that in those parts the nature and constitution of the nerves is dryer than elsewhere if the member resolved and loosened be actually hot and lastly if a trembling or a feaver follow upon it It is to be instituted and ordayned according to the nature of the causes and the differences The differences of a palsy are very various I. One is Vniversal in the which either the whole body the head alone excepted is seized upon or at least the one halfe thereof or one side of it And then if the Face be affected the brain also together with the spinal marrow is affected But if al the parts beneath the face then the begining and first entrance into the spinal marrow which we cal the marrow of the back bone is very far amiss in its transverse situation but if the affect surprise only the one half of the body one side then only of the Said spinal marrow is likewise affected and becometh faulty Another is particular when alone some one certain part suffereth And then if the Arms and hands be deprived of their motion then the nerves that proceed forth from the vertebre of the hinder part of the neck offend and are faulty If the Feet then those nerves that are in the vertebrae of the Loyns and the Os sacrum or channel bone If the eyes then the second pair of nerves is affected If the Tongue then the seventh payr of the nerves is affected And lastly if the voice fail then those nerves that are called recurrentis they only are affected and do suffer II. Another difference there is arising from a distemper in the nerves themselves by reason of phlegmy and cold humors that relax or loosen and dissolve their tone and these for the most part descend from the head These humors may be known and more fully understood what they are out of the Chapter touching the distemper of the head The Cure is to be wrought 1. by a gentle evacuation and imploying of the first and most principal passages least that otherwise the preparatives draw the crude humors into the stomach and here vomiting procured and excited by the use of Crato his vomitary made of the Juyce of the reddish in the which black hellebor hath bin steeped and infused hath its place if the stomach be stuffed ful of flegm but then if the matter be in its flux and motion the evacuation ought to be so much the stronger 2. by a preparing of the matter more than once by Cephalick medicaments among which Iva Arthetica primrose flowers the Flowers of Lilies of the Vally are the best that are now adayes in use 3. by purging with mechoacan or the
the sound and noise that it maketh wil soon discover Chap. 4. Of the Diseases of the Adnata Tunicle Article I. Of the Ophthalmie THe Parts Constituting the Eye either they are the Tunicles Viz. Adnata Cornea Vvea and Aranea or else they are the Humors thereof The Diseases of the Adnata are the Ophthalmy Pterygium Panniculus and Hyposphasma of the which two latter this is common to the Cornea Tunicle that unto the Eye-Lids The Ophthalmy is an inflamation of the Adnata Tunicle arising from a sharp blood distending the smal Veins thereof The SIGNS are redness of the Eyes a flowing forth of tears a pain c. The CAUSE is Blood which either alone or else castigated by other Humors sliding forth unto the part affected either by an afflux or else by congestion is dispersed thorow the Veins and so distendeth them The CURE is Difficult if it arise in cold Regions and in a cold time because then the Members are more than at other times streightened and confined if it infest and annoy little Children because that it continually followeth from a tender and weak Head if the pain presevere and long abide because it argueth a matter either corroding or vehemently distending or suppurating if it be by consent from the Membranes of the Brain and the parts contained within the Skin if there appear in the Eye smal grains of filth because these signifie a slowness of Maturation It is more easie if it be by Consent from the external parts if the tears be more abundant and more smarting because it cometh the sooner to an end if the belly be quick in regard that the loosness of the belly freeth the party from it It is to be accomplished according to the Method of other Inflamations It is to be noted in this that somtimes by Venesection the greatest Opthalmies are wholly taken away within the space of an hour 2. That Vesicatories applied behind the Ears do very wel draw back For this purpose there is much commended by Hartman the meat of the Herb Rocket in a quilted bag 3. Errhines and those not overstrong and violent are to be administred if the sick person hath bin wont to evacuate the excrements of the head by the Nostrils 4. Topicks are to be applied but yet not until the end of three whole days and these are to be actually some that warme without any the least mordacity or Carroding quality wel cleansed and purified and corrected by such repellers as are in their own propriety helpeful neither must they be too cool nor too astringent neither over dry and those may presently be put unto the forehead and the neck and they are to be followed with Anodynes which if there be any fear of a greater afflux are very fitly applied to the eye from the very beginning 2. the womens milk is every hour to be changed lest that after long continuance it contract a certain kind of acrimony from the heat of the eye 3. Opium and opiate medicaments are by no means to be adminiâ—tred without great and urgent necessity 4. Great caution must be had lest that there should be any suppuration in the inward parts 5. In the diet wine and the use of baths in the declination of the disease may very wel and without danger be allowed and permitted unto the sick person A Cataplasme of the Crumbs of wheat bread and a rosted apple with the brest-milk of a woman together with a little saffron and sugar of saturn is exceedingly commended And so likewise is the water that is made of the juicy substance of Craw-fish distilled two pints thereof of Rose water one pint and Crocus metalorum half an ounce infused altogether as also of the waters of the eyebright and Fennel of each alike five ounces with metalorum one dram unto which there may be added a fit proportion of rosewater Among the discussives Sarcocol wel washed and the true Tutty of the Arabians which drieth without any kind of biting obtain their place and use The Differences of the ophthalmy is threfold I. One is that we cal Taraxis or a perturbation which is known by this that the eyes only appear to be hotter with a certain redness in them and without any great abundance of tears It ariseth from external Causes to wit 1. the heat of the Sun or the fire and then the Cataplasme before mentioned may very siâ—ly be applied 2. from a pain of the head contracted from the suns scorching heat and then likewise the aforesaid Cataplasme hath its place unless happly general and Universal remedies ought altogether to preceed and take the the first place 3. from wind smoake and dust and the eyes are to be washed with milk luke warme and fleep to be taken thereupon 4. from a blow or a fal and then blood ought immediatly to be drawn forth by opening a vein 5. from the stinging of a Bee Wasp or Hornet and then Repellers of the white of an Egge the breast milk of a woman c. are to be imposed Another is the true and genuine ophthalmy which proceedeth either from hot or from cold causes and to this al that hath been before spoken doth properly and cheifly belong Another is that we cal Chemosis whenas the eye lids are as it were inverted and â—urned the inside outward neither can they be closed and then there appeareth a swelling of something that is white above the black of the eye and this needeth and requireth the stronger sort of remedies II. Another is Periodical which kepeth its intervals it is familiar unto hot moist heads at length it casteth the eyes into a consumption Another is that that keepeth not its periods Another is Contagious III. Another is Moist 〈◊〉 â—hich we have now most cheifly treated Another dry in the which there is but a very smal flux of tears and in the night-time the Eye-Lids contract an hardness It hath its original from a humor that is not much in quantity but very salt and nitrous And it is either with an itching attending it which if tears gently flow forth it is then called Psorophthalmia but if there be no tears at al and that the eyes are only red without any swelling it is then called Xerophthalmia or else without an itching and with a certain hardness of the Eye-lid and then it is-termed Sclerophthalmia The Cure hereof followeth the method of that before mentioned Article II. Of the Nail or little wing the web and the Hyposphagm of the Eye I. The Nail or little wing as they terme it of the eye or as some cal it the arrow is a little membrane that is nervous sibrous and somwhat white which proceedeth forth from the corners of the eyes the greater of them especially and cleaveth fast unto the Adnata tunicle and is somtimes drawn forth in length even unto the Cornea tunicle and very often if it so much increase covereth and over spreadeth the Pupilla or Bal of the Eye
This Affect needeth no SIGNS since that it is evidently exposed unto the view It is discerned from the Lachrymal flesh by its white shining brightness The CAUSE is Blood mingled together with thick viscid and clammy Humors flowing down from those parts that are contained betwixt the Skul and the Skin and bringing upon the place a certain kind of Scabbiness or scurfiness which while the nutritive faculty endevouereth to render and make equal it produceth an increase of the membrance beyond the ordinary course of nature The CURE Requireth I. The Premising of the general and universal remedies II. the extertion and extirpation of the nail after it hath been for a while fomented either with a decoction or some temperate distilled water Among the several sorts of medicaments there is commended the pouder that is made and prepared of Egg-shels and then cast upon the eyes the Medicinal stone of Crollius in the water of roses and Eye bright the specifick of â—artman of the fish Lucius we cal it the Luce or Pike the same Hartmans water of the whits of Eggs and other such like remedies which if they be sharp and piercing ought to be quallified and corrected with Tragacanth and the like and exceeding great Caution must be had that the tunicle Cornea be not touched III. It requireth Chyrurgery of which you may see further if you consult Authors upon this very subject IV. A Diet in which there ought to be an abstinence from wine and meats that generate store of vapours It is many wayes Divided I. One is that we cal Albicans or tending to whiteness Another there is that tendeth to a blackness which is not to be removed by any remedies whatsoever II. Another Recent or new which may soone and very easily be dispersed and quite taken away Another is Inveterated and old unto which if a thickness chance to accrew and be added thereto it ought then to be cut out yet sometimes notwithstanding it sticketh so close and pertinaciously unto the Adnata tunicle that it cannot be taken away thence no not by the Chirurgeon himselfe without manifest hazard and danger of hurting the eye III. Another is that which is produced only unto the Cornea tunicle and no further Another that is extended along even unto the very pupilla or Eye-bal and this if it be taken away it indeed wholly freeth the eye from fluxions but if a Cicatrix or star be left remaining it very much hindereth the sight of the eye IV. Another is Cancerous and Putrid which admitteth of no Cure at al Another that is not as the former II. The Pin or web of the Eye is a certain red substance like unto a smal piece of cloath arising from the exuberancy and over great abounding of blood in the Exterior veins of the Eye There is here no need of SIGNS There appeareth especially in the superficies of the tunicle Adnata as it were a fleshy web with an itching a pain an offending of the eyes by the light the sight obscured or quite and clean taken away The CAUSE is a blood derived unto the eyes either simple and alone or mixed either by the way of fluxion or of congestion and this either by the external vessels and then the forehead swelleth a little or otherwise by the internal vessels and then there is a certain pain extending it self even unto the very roots of the Eves The CURE is performed I. By the Vse of Vniversals or remedyes in general II. By Abstertion by those things above mentioned III. By Chirurgery touching which those Authors that are extant upon this Subject III. The Hyposphagm or Sugillation as they cal it is a blemish or spot reddish or black and blew arising from blood poured forth of the veins being opened and common to the tunicle Cornea There is no need of SIGNS forasmuch as the malady or Evil is easily discovered by the very beholding of it The CAUSE is whatsoever may open the veins whether it be External or internal as shal be further shewn in the differences The CURE is Easie in the beginning It is performed Universal or general remedies having gon before if the afflux be greater than is usual by discussives at first such as are more gentle and corrected by astringents but afterward those that are stronger and more forcible and yet withal such as are void of acrimony and tartness lest that there should more of the blood be enticed and drawn forth unto the part affected It is Divided three manner of waies I. One is from Causes External a blow clamour and sounding of trumpets in which we must presently have recourse unto Topical remedies to wit the decoction of the flowers of Melilote and of Roses Fenugreek seed Colliry composed of the blood of Pigeons taken out of their wings two drams thereof the breast milk of a temperate Woman half an ounce and frankincence one scruple Another is from internal Causes to wit either great store of blood where Venesection must by no means be ommitted or else from the extraordinary great heat thereof and then the spot or blemish tendeth unto a Citrine colour We must withstand and oppose the inflamation by the white of an Egg wel shaken together if there present any Pus or filthy purulent matter the same is to be lessened by a Collyry composed of the Muciluge of fenngreek with fennel water and honey of Roses II. Another is Recent and new beginning in which the blemish is of a red colour Besides the Topical rememdies above mentioned the tops of hissop boy led in ordinary and common water tyed up in a little bage and so applied is of singular use and bennifit in discussing the peccant matter Another is inveterate and of long standing in the which the spot or blemish is black and blew And for this we usually prescribe as most proper and convenient a Colliry composed of the Juyce of the greater Selandine and Carduus Benidictus of each halfe an ounce of the fat of the bird they cal Quoestula or Queist liquified and dissolved two drams and of mirrh half a scruple as also the Root of sigillum Solomonis or Solomons Seal well shaken together c. III. Another is When blood is cast forth either into the Adnata or the Cornea Tunicle And another When it is cast forth into both these Tunicles at once and together and then all the Objects that the Sick person looketh upon seem to be of a color tending to Redness Chap. 5. Of the Diseases of the Tunicle Cornea Article I. Of Crassities Nebula and Albugo THe Diseases of the Tunicle Cornea are Crassities or a certain kind of thickness Nebula or a little Cloud Albugo or a white spot in the Eye Pustules or Pushes Vlcers Wounds and Pain I. Crassities or thickness Is an extream drying of the substance thereof and therewithal there Joyned a certain Corrugation or winkling It is known by this that as it were in the superficies thereof there appeareth a little
is but new beginning and then there fly to and again before the Eyes as it were Gnats or some certain other dark and dim appearances Another is Augmented and then the color of the Pupilla appeareth like unto that we cal sea-green or else it is like unto the Air when ful of little Clouds Another is Perfect in which the sick person discerneth nothing at al and then the Pupilla appeareth to be of a white color III. They differ in regard of their Cause 1. One is from a thin matter and such as is Fluxile as for most part it is wont to be in the beginning and then if there be present a Plethory we may prescribe Venesection and cause a Vein to be opened Another is thick clammy tenaceous and then we ought to abstain from bloodletting 2. Another resembleth the cleer pure air as also it resembleth silver Playfter or Parget and Margarites and this kind leaveth some Hopes of a Cure Another is black which is by no means to be Cured no not by the Needle Another is Green which is likewise altogether incurable IV. Another is that which is truly and properly so called and of this al that hath hitherto been said upon this subject ought to be understood which siezeth only upon one of the Eyes or else if both yet not together not a like and whose Symptoms are constant and continual Another is Bastard and Spurious which carryeth it self quite contrary unto the former and ariseth from a Vapour ascending from the imferiour parts and is wholly taken away when the Affect is removed Chap. 7. Of what is amiss in the Humors of the Eyes THe Humors that together with the Tunicle constitute the Eyes are in number three to wit the Watery the Chrystalline and the Glassie Humor I. The Faults or things amiss in the Watery are especially sour I. The Diminution thereof by reason of heat dryness overmuch Evacuation which in regard that it is conjoyned with the dryness of the whol body is there not to be Cured without much difficulty II. Effusion when it is poured out which happeneth in the Rupture of the Cornea and then a wound or Ulcer went before the Cornea Tunicle lieth underneath This Humor is somtimes bread again of its own arising from the admixture of thick Humors or Vapors and then the Humor appearth not to be altogether so cleer as it is wont and certain resemblances or babies as we term them fly up and down before the Eyes c. IV. Obscuration and another kind of Color by Reason of the Humors that are therewith mingled These things may be wel known at the first sight and by the very view II. Those things that are amiss in the Crystalline Humor are especially these I. Glaucoma when this Humor is turned into a Grey color It is known by this that about the Pupilla there appeareth a notable manifest whitness somwhat deeply seated and al things are seen as it were through smoke and little clouds It ariseth from exsiccation which happeneth either by Reason of Age or else from some other Cause II. Solidity and Obscurity which therefore needeth a greater illumination from whence proceedeah that we cal Nuclalopia or a Nocturnal blindness with the which such as are affected see indifferently wel in the day time but more obscurely and dimly after sunset and in the night time nothing at al. III. The Scituation changed which is wont to happen many waies 1. Vpwards or downwards from whence the incruciation as they cal it or Crossing of the Opticks is dissolved or else the Axes of the Pyramids thereof are fixed in a double plane and so al things appeare double 2. At the sides and then things appear more on the right side or on the left than indeed they are 3. Towards the middle and the Center from whence it is that those things that are night at hand are rightly seen but things more remote are not distinctly enough discerned 4. Beyond the middle and Center toward the Optick and then those things that they desire to discern they are constrained of necessity to lay them close to their Eyes Towards the Pupilla or Bal of the Eye and then they rightly discern those things that are remote and at a distance from the Eyes III. Those things that are amiss in the Vitreous or Glassie Humor are I. The Augmentation thereof by which not only the Pupilla is the more dilated but likewise the Crystalline Humor is obscured and hath as it were a mist and shadow cast before it and the Spirits also much dulled and blunted II. Diminution from whence the Tunicles are wrinkled up together the Pupilla contracted and falling down above the Crystallaine Humor and abbreviating the space betwixt it and the Tunicles in the which the external splendours meet together produceth the very like affect as in those that wink with one or both Eyes that they may the better behold the bright body of the Sun III. A Crassitude or thickness which ariseâ—h either from the mingling together therewith of an humor or else from the admixture of some other adventitious substance Chap. 8. Of those Diseases that infest and annoy the Globe of the Eye THose Diseases that infest and affect the Globe of the Eye are Atrophy Procidency or standing out and Strabismus or Squinteyedness unto the which may be added out of the Symptoms the Debility or weakness of the sight and stark blindness I. Atrophy is then when the parts of the Eyes consume and wast away It ariseth most especially from excessive Evacuation and over great exsiccation It is Cured by those Medicaments that humectate and moysten and cheifly the Breast-Milk of a Woman layed therein II. Procidency when the Eye either stands out of its Orb in an unusual and unbeseeming manner or otherwise falleth out so at least that it cannot be covered with the Eye-Lids It ariseth from Causes as wel External a blow blowing of Trumpets strangling Hard Labour in Child bearing c. as internal to wit the resolution of the Muscles and Nerves a Tumor thrusting forth the Eye c. In the Cure we must have regard 1. Unto the putting back of the Eye into its proper seare or if that may not be done then wholly to take it away 2. Unto the Deteining and keeping of the same in its place or seat by Fomentations made of Astringents to wit Roses Pomegranate flowers and Acacia Neither must we forget to let blood and the inflamation is likewise to be repelled and driven back If Resolution be the cause thereof then Apophlegmatisms are very available III. Strabismus is then when the Pupilla or bal of the Eye declineth from the middest so that it appeareth more in one part of the Eye than in the other It ariseth either from an ill frame and composure at the first from the very Womb and then it is not by any means to be Cured or else it chanceth from an ill custom as it is
Worms which discover themselves by the corroding pain restlessness and other such like conjectural Symptoms How these Worms ought to be drawn forth see further in the Practitioners They are killed by the Oyntment of Capons Grease and the Oyl of the Hazel Nut or Filberds mingled with two grains of Mercurius Dulcis and so put into the Orifice of the Ears with Silk they are killed with the Decoction of Hemp into the part affected IV. Water fallen into the Ear is again drawn forth by infusing Oyl thereinto Ticle V. Of the Symptoms of the Ears Chap. 1. Of Pain and Deafness THe Symptomes of the Ears are Pain Deafness Tingling and a Hardness of hearing together with a mistaking therein The Pain needeth no signs in Infants if the part be but touched it is then discovered by the moan and complaint that is made It ariseth from Causes distending the Membranes encompassing about the Cavity of the Ear and endued with an exquisite sense The Cure hereof is somwhat doubtful if it infest and annoy those that are young and tender if in those that are declining in yeers it be accompanyed with frequent Relapses and if it abide and keep its residence in the deeper part or bottom of the Ear. It is performed by Anodynes and if it be Vehement and intollerable by those Medicaments that stupefie Among these are the green Leaves of Tobacco moystened either with a specifical and proper Water or at least with Rue Water and so applied together with three grains of Opiate Laudanum Those things that are applied externally ought to be gentle lest that the pain be exasperated and Augmented The Differences are taken especially from the Causes I. One there is from Externals as to instance from somwhat fallen thereinto from a Wound c. which are al to be known by the Relation of the sick person Another there is from Causes internal to wit a Distemper either without or with matter and this either cold in which the Juyce of Onions with some kind of liquor is very helpful or else hot in which the Breast-Milk of a Woman together with the Juyces of cooling Herbs do much avail and profit a Wind for the which those things are useful and proper which in the following discourse touching the noise and sound in the Ears remain further to be spoken of from an Inflamation of which enough hath been above said or lastly from an Vlcer and corrupt matter of which likewise sufficiently in the same place Deafness is an Abolition of the Hearing differing from that we cal Barucoia or Hypocophofis in the which a man not without much difficulty heareth and perceiveth sounds although at a Just and meet distance only in regard of the greatness and intensiveness of the Cause It ariseth from the default of those things that concur to the constitution and perfection of the Hearing and I. Of the Brain in that it either produceth no Animal spirits or else doth not transmit them by Reason of some peculiar Disease II. Of the Auditory Nerve which hath no passage or conveyance for the said spirits either by Reason of some thing amiss in its very frame and formation and hence for the most part those that are deaf are likewise dumb and this kind of Deafness is altogether incurable or else by means of some obstruction thickness c. III. Of the Animal Spirit it self which either is not at al generated by reason of some extraordinary great distemper of the Brain or else is abolished by reason of the extream straightness and narrowness of the passages or otherwise it passeth not through by Reason of somthing amiss in the Nerve or else it is but very little and that likewise over thick and impure by Reason of the Ambient Air or from other Cause IV. Of the Inbred air which either faileth to wit by Reason of a wound or an Ulcer c. and passeth forth dissipated and Scattered by noises and sounds the contusion of the Head or a Vehement affect of the Brain not restored and made good again by Reason of a fayling and want of Nourishment or else it is impure either from some matter sent thither from the brain or from elswhere V. Of the Auditory Passage which either is formed amiss Or else stopped and that either but in part and then there is only a diminution of the Hearing or else wholly and altogether and hence it is that the external sound is not at al perceived but then there is another new one produced by the Air left remayning there or else from things External falling or sent thereinto or otherwise from internal Humors filthiness and impurities Ulcers c. Or else it is condensed and thickned by an Inflamation some smal Tumor or rising c. Or else lastly compressed and thrust together by Reason of some fracture of the Bones VI. Of the Tympanum or drum which may be broken loosened rendered thicker or drier extended and otherwise infested by an inflamation arising about or neer unto it VII Of the three little Bones which either are not rightly formed or else are moved out of their place And yet notwithstanding most frequently from a Pituitous and Flegmatick or Cholerick humor which happeneth in acute and violent Feavers and somtimes it discovereth that the matter is carryed forth unto the exterior parts In the Cure hereof we must see and look wel to it that the Medicaments be applied Warm that there be no new remedies laid to until after that al the filth and Impurities be throughly cleansed and wiped away that there be never more than three drops conveyed in at once that we be not over forward in tampering with those things that are Viscous and Clammy and the sick person lie upon that Ear that is sound and wel and lastly that there be care taken of the Head There are here commended the destilled Water of Carduus Benedictus the Leaves thereof being twice infused in the Glass Vessel the Juyce of an Onyon wel soaked in the spirit of Wine and then roasted under the Embers the Juyce that is pressed forth of Ants Eggs or the destilled Water of the same the Gal of an Hare with a like proportion of Virgin Honey and such like of all which you may see further in Petraeus and Hartmannus Chap 2. Of the Noise or Ringing of the Ears and thickness of Hearing THis Tinnitus or Ringing noise is Defined to be a Preternatural sound in the Ears made and perceived in the instrument of hearing or else in the Cavity of the Head bone arising from Vapors first shut up therein and then moved In this Affect there is no need at all of Signs The CAUSE is conjectured to be that which they term Pneuma Physodes as it preternaturally moveth up and down the inbred Air. Now this indeed ariseth 1. Either of it self or otherwise by the Consent and agreement of other parts to wit the Spleen the Liver the Womb the Stomach c. And then there are
present certain signs of those parts affected 2. Or else from External Causes exciting and raising up Vapors to wit the extream cold or over great heat of the Air overmuch feeding and fulness either of food or Wine from whence Crudities are heaped up together in the Head from the north wind blowing immediately after the South wind which is very easily removed from frequent smiting upon the Head and Temples which is very difficultly Cured in regard that the Humors by Reason of the pain flowing together unto the Organs of hearing it is wont to turn into a deafness Or else from Internal Causes that send forth the very same and this 1. By Breaths and blasts that are over heating and filling forth that little Artery that runneth under the Ear and then the Disease is wont to be of long continuance and here we are to deal with those Remedies whether Decoctions or Juyces that both cool and moisten Opium may likewise in this case be administred but then it must be with very great caution 2. From a Humor Flegmatick and cold and then the Malady began by little and little from less to greater and returneth likewise at some certain seasons and by intervals the noise or sound is cleerer and more distinct than ordinary and lastly there were some Causes of the same that went before In the Curing hereof general Remedies being evermore premized and taking the first place we are to act operate by such things as attenuate and discuss which ought to be applied in the morning and before Supper as namely the Vapor of Vinegar together with an Oxe Gall the Secret Remedy that is Compounded of those little Worms that he betwixt the wood and the bark of the Oak Tree and the Oyl of Rue and that Oyl likewise known by the name of Olium Castinum see further hereof in Petraeus the prepared Gal of the fish Lucius or the Pike as we commonly cal it and the Fume or smoak of the Herb Mercury 3. From a Cholerick Humor and then it chanceth in Feavers it also seizeth the Patient either Symptomatically or Critically and somtimes it is dissolved and vanisheth of its own accord and somtimes again not until after a Cholerick flux of the Belly 4. From filth and Impurities which ought to be washed forth with the destilled Urin of an Ass or a little Child in the which there hath been first wel soaked a fit quantity of the Wood Guaiacum a due proportion of Castoreum and a little bundle of wild mints 5. From an Apostume which discovereth it self by its own signs Thickness as we term it or hardness of Hearing otherwise called Paracousis is then When the hearing preceiveth its object â—ry confusedly And this is Caused either by an Ulcer not rightly cleansed and consolidated when as the Windy Vapor being driven through the Arteries by its impetuous violence offendeth the hearing or else in Feavers Vapors being lifted up into the Head and then poured forth into the Ears Or else without any Feaver when there is a hot Evaporation continually and without any intermission exhaled and drawn up into the Head from the impure Entrails Title VI. Of the Diseases and Symptoms of the Nostrils Chap. I. Of the Ulcers of the Nostrils as also of Ozaena and Polypus THe Affects of the Nostrils are Vlcers Ozaena Polypus the Hemorrhage hurt of the Smelling Stuffing thereof by a Rheum falling down from the Head thereinto and Sternutation or Sneezing The Vlcers of the Nostrils happen somtimes from a blow a Contusion a fal a wound and other Causes that are evident and somtimes from the Acrimony of those things that pass by them as Salt Flegm c. They are known divided and Cured like as are other Ulcers accordingly as we have shewn in the first Book The principle Difference is that whereby they are divided into Ulcers Recent and newly begun and those that are Old as having been of a long continuance Recent Ulcers are known from hence that they very frequently issue forth a smal quantity of blood and that more especially when they are hard touched upon and thereby Irritated and that the Nostrils are by this oftentimes moystened and that if they be suffered and let alone they are then over grown and covered over with a dry scurf and crustiness and that most usually of a black color which somtimes falleth off upon the strong and Violent cleansing of the Nostrils by blowing of them II. That that is Old and invetterate and now become a putrid ulcer is called Ozena It is known from hence that from it there falleth off a more and filthy crustiness and likewise that there issueth therefrom a kind of snotty filth of a very il and offensive savour insomuch that then the sick person is himselfe offended with the stench thereof and is likewise very noysom and offensive unto al those that are neer about him by the contagion of a foul and stinking breath and that if the mallady be of long standing the wings as we cal them of the nostrils or that that standeth betwixt them or the other tender and soft bones of that place are eaten through and putrefied and the pallate also being eaten through is oftentimes perforated and this especially chanceth if it hath the resemblance of a Canker or be contracted and caused by the venereal and foul disease It hath its original either from externals to wit suffumigations from Mercury and Cinaber inconsideratly administred or else from internals to wit sharp and corroding humors and which happeneth in the french pox such as are extreamly mallignant It is Cured I. By the administring of Vniversal or general Remedies that so new affluxes may be turned away from the head II. By the Evacuation of the Head by Gargarismes Masticatories c. and the strengthening thereof by external and internal Cephalicks III. By the 1. Detersion or wiping and clensing of the ulcer either by the Juices of Milfoil Horehound Betony with honey of Roses or by Alum water or by the green water of Hartman before which the mollyfying and suppling of the Crust by the vapours of emollient herbs ought to be premized and first made trial of 2. by the Excication and drying of the said ulcer by the vapour of the refuse and dross of fire-hot iron be sprinkled with red wine by the suffumigation of orpiment commonly called in the shops Auripigmentum Cinnabar Benzoin styrax Callamite and Cloves al together throughly mingled one with the other the nostrils being first stop't at their roots lest that otherwise the brain should chance to be smiten and hurt 3. By Consolidation with the Trochisques of Rondeletius c. III. Polipus is a fleshy excrescence in the Nostrils hanging thereat by certain thin and smal Roots or strings and now one while hanging before out of the nostrils and then as soon again descending unto the Palate It is known by this that this said flesh is loose thin soft and of a various color that
Causes I. One is from Resolution which may be known by this that the part affected is loose and the softer part thereof drawn to that part that is sound and that the sense in the part affected is very obtuse and dull that the eye lids in part fal down that the face is extended without any wrinkles at al and that it continually inclineth toward the inferior parts It ariseth from the very same causes from which it portendeth a palsy or an apoplexy It is Cured in the manner as a palsey I. By Vniversals where note wel 1. That before the fourth or the seventh day unless there be a fear of the before mentioned diseases we must have no recourse unto the stronger sort of medicaments 2. that a vein is to be opened first in the Arm and after that under the tongue 3. That Cupping-glasses with scarification ought rather to be applied unto the shoulder blades than unto the first vertebrae lest that if they be too often imposed on the neck they may haply cause a trembling II. By Particulars and then Errhines and Apophlegmatismes are of good use Gargarismes are not to be administred before errhines lest that the matter be thereby drawn unto the face Outwardly let therebe inunctions of Castoreum Let the mouth by Ligatures be reduced again unto its natural state Let the sick person be put into an obscure and dark place lest that by much light the humors being scattered run together unto the nerves Let a looking glass be set oppositely before him Another from Convulsion which is known by this that the part affected is hard and for the most part ful of pain that the sound part is somtimes drawn unto that extended that the skin in one partthereof is rugged and wrinkled and in another extended and lastly that there is here present but very little Salivation or spiting It ariseth from the same Causes with the Convulsion And it is likewise as hardly cured or else not at al if it seize upon both sides of the mouth we cal it then a chymical spasme and be violent strong for somtimes within four daies and somtimes again at the furthest within twelve the matter being transferred unto the head kileth the party thus affected or if it happen in burning feavers a pernitious Phrensy c. II. Another is when the Muscles are affected then the vitious and deformed figure seazeth only that part of the face which the affected muscle covereth Another when the nerves and then their spring-head and beginning being affected the Brain is likewise affected in the one half thereof and half the face also together with the whole body suffereth but if they be affected in their progress â—hen the distorsion or writhing seizeth upon the one half of the face throughout al the parts thereof when the third pair of nerves are affected in regard that the same part thereof standeth forth by the same holes with the moving nerves of the eyes the eye cheifly suffereth if the fifth pair be affected then there is likewise some slight hurt of the hollow or inner parts of the Cheeks but if the first vertebrae of the neck then the hurt that befalleth the Cheeks is so much the greater but then the eye unless withal the Temple muscle into which the fifth Conjugation sendeth forth a smal branch be affected is the more freed from suffering Chap. 3. Of the Ptyalisme APtyalism is a frequent and involuntary spitting and spawling without any Cough or retching proceeding from a superfluity and over great store of spittle Our discourse is of that ptyalisme that is Symptomatical and not of the Critical which freeth the sick person from the disease he lyeth under Of SIGNS there is no need at al. It is termed involuntary the better to distinguish it from that that is by use and Custom whether it be in concluding of a sentence in a discourse or whether otherwise it maketh no matter It is said to be without any cough or retching in regard that what for the most part upon excretion or reaching is cast up out of the Thorax or breast is most properly called spittle and that sallivation or spawling that is cast forth and commeth away without the sâ—id stretching or retching The CAUSE is an excess and over great store of Spittle For if it be considered as it is Naturally in its Mediocrity so it is requisite by its mixture to prepare the meaâ— while its masticated and chewed in the Mouth for the first Concoction to further and help the speech and to be the Vehicle of the several Tastes The CURE in general is to be directed towards and ordered unto the Corroboration of the Tonsils in regard that it is bred in the assistent Glandules on both sides the Tongue which they cal Tonsils by the concurrent heat of the Tongue and the other parts in the Mouth This is done with the Decoction of the Leaves of Myrtle Plantane and Alume c. Which are only to be kept and conteined in the Mouth and not to be Gargarized therewith lest that thereby more Flegm be attracted and drawn unto the Superfluous Spittle It is divided according to the Causes thereof One is from Causes External increasing the Spittle to wit that dangerous and pernitious anoynting with Quick-Silver ful feeding upon moist meats and excessive drinking And this ariseth and sheweth it self after meals Another from internal Causes to wit a waterish and Flegmatick Humor which 1. Somtimes falling down from the brain unto the Jaws mingleth it self together therewithal and then the same thing likewise is done and hapneth in the Relaxation or loosening of the Columella the inflamation and Ulcers of the Mouth The Cure is to be directed and ordered according to that of a Catarrh 2. And somtimes that that is heaped up in the Whol Body is transmitted thither and this most commonly happeneth in Infants 3. Somtimes it as it were sweareth out of the overmoist and empty Stomach and this especially after Chronical Diseases and then a regard is to be had unto the purging of the Stomach by Aloetick Medicaments Frankincense and Mastick taken in wine Meats wel sawced with Mustard and Diagalanga 4. Somtimes it proceedeth out of the Intestines as in Worms from the Spleen as in those that are afflicted with the Scurvy out of the Breast and Lungs c. Title X. Of the Affects of the Mouth Chap. 1. Of the Aphthae or Exulcerations of the Mouth AFfects of the Mouth properly so called are the exulcerations termed Aphthae and Faetor or the stinking of the Mouth and the Breath The Aphthae are certain Hot and Fiery Exulcerations in the highest part or Superficies of the Mouth that have in them somthing of heat There is in this case no need of SIGNS they are sufficiently known by the sight alone The CAUSES as wel External as internal shal be expressed and explained in the Differences The CURE is performed by Repulsion in the beginning with astriction and in
patient in his fever is even scorched with a more ehement and intence burning heat Chap. 3. Of the streightness or narrowness of the Lungs The streightness of the Lunges is the interception of the vessels thereof by reason of obstruction Compression or exsiccation producing a Cough oppression and a difficulty of breathing As for the Signs Causes and Cure thereof let them be al sought our from the differences The differences are taken from the Causes and the parts affected I. One is of the rough Arteries touching which let the Reader advise himself further and satisfy himself fully from the following differences the which proceedeth from an obstruction c. Another is of the smooth Arteries which is known from the breathing which is with much difficulty yet not only in the beginning but likewise in the increase thereof from the pulse being altogether various unequal intermitting great swift slow rare frequent vehement by reason of the Combare betwixt nature and the Morbifique cause she being not able to expell the fuliginous or sooty fumes by reason of the streightness and narrowness of the Arteries from the palpitation or beathing of the heart it being now very much oppressed and from fainting and swooning It aâ—iseth either from thick Visced or clammy and flegmatick humors and then the pulse is by the extension it differeth much from it self but yet it is for the greatest part more equal in it self and this is not very hard to be cured especially if it newly begun the cure remameth to be spoken of below Or else it ariseth from a little riseing or swelling and then the pulse is hard by extension and dryness its inequality is uniform by reason that the Cause is more fixed Touching the Cure we shal speak more anon II. One is understand this of the Rough Arteries from an obstruction by blood a humor c. Touching which more below Another from Compression and almost from the very same causes as in the dropsy Another from Exsiccation very frequent and incident unto such as work in Metalls and this for its cure requireth almond milk III. One is from blood obstructing or compressing the rough Arteries expelled and driven forth thither either from the Lungs or from else where which is to be driven back and evacuated And lastly if it become Clotted by Oximel scillitick and a posset that is a mixture of water and vinegar six ounces thereof in weight so that it be pleasant to drink and likewise so that by reason of the vinegar it provoke not to Cough and this to be administred blood warm three or four times in a day it is to be dissolved Another from a Humor and especially that that is Phlegmatick which is plentifull and abounding and then if by distilling it flow forth only into the Membrane that surroundeth and grindeth in the throat it obscureth the voice and causeth a hoarsness if this humor fal into the hollow the channel of the throat it produceth a little sheeps cough as we cal it with a certain sence and feeling of an acrimony that continually provoketh to Coughing or else the sayd humor is thick and viscid or clamy but this is very rarely generated in the Lungs in regard that they are nourished by a thin and pure blood it almost alwaies ariseth from Catarrhs falling down from the head the which in tract of time by the force of the heat is changed into a Glassy or Plasterlike Phlegm which being by the many distillations returning in a round as it were and circuit stored up in great abundance causeth the Asthma The same likewise exceedingly afflicteth the Patient with a kind of dry Cough by the which there is hardly any thing expelled and brought away it rendereth the breathing difficult and causeth in the taking in and puting forth of the breath a snorting or wheezing as we term it in regard that it is impacted and pertinaciously stuffed into the Lappets of the Lungs it hath signs and tokens foregoing of a distillation either from the head brain or from the neighboring parts In the Cure whilest the matter is in preparing with Colts foot Horehound and other attenuateing and cutting Medicaments let Borrage Liquorish and Raysons be mingled together The purgation is wel performed with Agrick Another is from the Pus or purulent Matter that is powred forth out of some Apostume and then expectorating Remedies have their place IV. One is from Causes that in their whol kind are preternatural amongst which are I. Little Substance some of them very hard and solid others of the consistence of old Cheese all of them included in their own proper Cisterns and Bladders and producing the Asthma II. Little Risings or Swellings which have their Original from a matter collected in one part and thence strutting and standing forth without any token or sign at al of any distillation preceding and these said swellings adhere and stick close unto the Aspera Arteria or great rough Artery They are divided into those that are Crude or raw which are very hardly known and they are never suppurated neither have they any Feaver joyned with them and such as are Suppurated in the which the Pus or filthy corrupt matter is so strictly and closely shut up in its little Membrane and proper bladder that hardly can there any noysom and stinking smell expire and breath forth of it into the Body Then the sick persons are of a black blew or leaden color their Tongue is replenished with a certain kind of Clamminess especially when they have abstained long from Food the Urine is dyed and hath a tincture either from the vehement motion and stirring of the Body or else from meat and drink that is hotter than ordinary after an extream and violent motion there are little pils and smal round bals or pellets like unto a smal Pease included and wrapped up in a little Membrane ejected and cast forth of the Lungs There is then likewise a troublesom Cough and a difficulty of breathing excited A pain there is that continually affecteth sick persons but then chiefly when they are moved with a more vehement and violent morion The Patient recovereth not to be well of these unless 1. The Suppuration be speedily wrought 2. Unless the Suppuration when it is made suddenly break forth 3. Unless it tend upwards and be cast forth by Coughing 4. Unless al the Pus and the whol filth be evacuated and emptied forth 5. Unless the belly that is that Cavity in which the Pus or purulent matter was contained be perfectly agglutinated and united as formerly Chap. 4. Of the Wounds of the Lungs THe Wounds of the lungs are wel known by the difficulty of breathing by reason of the hurt the organs have received by the casting out of froath and blood by the mouth with a cough by the spitting up of a red and froathy blood out of the chest without any pain at al by the swelling and strutting of the neck veins and lastly
Ear Milfoil and Citron Rinds Prepared the Decoction of Pimpernel Walwort Sugar of Roses Old with the Whey of Goats Milk the Secret of Freytagius of which you may see further in the same Author in his tract of Opium China Root Guajacum c. Let the Patient every hour lick in the Lohoch of Walwort with the Conserve of Red roses III. The Correction of the Blood that so that that floweth unto the part affected may be good And therefore in the Diet Milk is accounted wholsom because that by its serosity it clenseth the Ulcer and by its Caseosity if we may so term it or Cheesie part it Consolidates and then lastly by its Aereal and buttery Fatness it Humectates and moisteneth the wasted and extenuated Body And certain it is that Goats Milk ought to be taken at dinner time at least if there be present no great Feaver or pain of the head that so it may not sour in the stomach or Cause unsavory belchings At Supper the Emulsion of white Poppy Seed and of the greater cold Seeds of each one dram of the Milk of sweet Almonds one pint also milk Boyled with Rice If Milk be not thought convenient Barley Hulled and with the broth of a Cook reduced into a Cream Distilled Medicaments are not here approved of because that their Nutritive faculty doth not transcend the Alembick IV. The Removal of the Feaver by those things that cool and moisten V. The Depulsion of the Extenuation by those things that have in them a power restorative And here Pultises of Milk the Yolks of Eggs fresh Butter Sugar and the meal or flour of Barley and Rice have their place Then let a Bath of warm Milk be made for the sick person after which let a Rosted pullet that hath been fattened with Milk succeed and then the distilled liquor of Snails and the Aqua Mirabilis of which we may see more in Zacutus his Eight Book VI. The Nerfion of the whole Nocturnal Colliquation by Sudorificks or Sweats Then in the evening we must administer the Conserve of Red Roses with the Syrup of Poppy of Jujubes and Diacodium The Breast and the Back-bone are to be anoynted and a Liniment Resumptive as Practitioners cal it with the Oyl of Roses and Violets c. The Phthisis is divided in a twofold manner according to the quality and condition of the Causes and its Duration I. One is from Blood which being got forth into the Lungs there clotteth and putrefieth And in this if al things else be answerable Phlebotomy hath its due place in the very beginning thereof Another from a sharp Humor whether it be Serous or Cholerick which is either sent from the Head neither may it be cast forth by Coughing and then the Cure is to be ordered according to the Nature of the Catarrh or else it is poured forth from the Heart into the Lungs or else it regurgitates from the suppressed Courses or Hemorrhoids and then the Cure must be sought for in its own proper place Another but that is very rare from Sweet Flegm if in too great abundance it flow unto the lungs obstruct the lappits therof render the substance thereof over moist and there putrefie by reason of its long abode there and for want of Ventilation Another from Pus or corrupt stinking matter upon the breaking of the impostum of the Quinsie of the Uvula the Pleurisie c. And hence is that of Hippocrates those saith he that after a Pleurisie happen to be impostumated if in forty daies they be not freed thereof they then become Phtysical Another by Contagion from the breath of the Phthisical and hereunto belongeth that of the Sea hare corroding and eating through the Lungs by its specifical Poysonous quality and likewise the breath and stench of Cats and Dogs sent forth especially in the dissecting and opening of them II. One is Recent and but newly begun in which the Symptoms are not so strong and Violent Another such as is confirmed and of a long continuance in which the Cheeks wax black or of a Leaden color with a Paleness in the Face although I grant at somtimes the Cheeks by Reason of Vapors ascending from the Lungs may appear to be of somthing a red color The Breath by reason of the imbecillity of the breathing Faculty or the obstruction of the Bronchia we cal them the Lappets of the Lungs either from store of purulent matter sent thither or else from the many Excrements that in the weakned Lungs are gathered together and heaped up becometh very difficult and is hardly drawn The Pulses are one while languid and slow another while quick and swift one while hard by Reason of the dryness of the Body and another while soft in regard of the Humid matter moystening the Arteries Sweats in great abundance break forth in the time of sleep by reason of the debillity of the natural Faculty And at length the Malady having now gotten the upper hand certain smal parcels and portions of the putrefied lungs are cast forth with an intolerable strength The Hair of the Head sheddeth and falleth off by Reason of the defect and want of Aliment and the Corruption of that that is bred in the Body The Nails become Crooked that Flesh that was wont to be at the Fingers ends being consumed A Smal sort of Lice are generated in regard of the Corruption of the Aliment The Extream parts especially the Feet by reason of the extinction of the Native heat are much swollen And at length the Flux Diarrhoea together with a suppession of the Spittle followeth upon it from the weakness of the retentive Faculty of the Stomack and the Intestines See further in Freytagius touching the Phthisis Title V. Of the Diseases of the Thorax or Breast Chap. I. Of the Inflamation of the Mediastine or the Transverse Muscle and the Tumors of the Diaphragm THe Diseases of the Thorax or Chest are the Inflamation of the Mediastine the Swlling of the Diaphragme the Pleurisie the Empyema or Constipation the Consumption or wasting of the Back and the Worms of the Back I. The Inflamation of the Mediastin that disjoyneth the Lobes of the Lungs is known by the continual Feaver the frequent thick and swift breathing an extream and intense burning in the Breast a smal pain at the stern unto which the Mediastine is tyed and by the spitting and casting forth of that that is at first red and then afterward Yellow But the matter that is thus cast up because that it is gathered together betwixt a double Membrane as it were and is not easily Evacuated unless the said Membrane be eaten through is not in any great abundance It ariseth from the Blood and chiefly the Cholerick It is Cured after the manner of other Inflamations Where take notice that the Repressing Medicaments ought indeed to be cold but no way astringent and that in this Case the Oyl of Violets is cheifly approved of which must be made
blood warm unless it be in the summer time and the Breast therewith anoynted II. The Tumors or swellings of the Diaphragm are of two sorts Some of them are Cold which are known by the difficulty of Breathing the stretching out of the hypochondria yet no swelling appearing in them upon the touch and no deliry or dotage accompanying it They arise from a matter that is crude and thin penetratting into the thickness of the diaphragme either from the compression or wounding thereof They are hardly Cured if they be of long standing in regard they bring the sick person to a consumption but more easily if they be Recent and newly begun but not at al if there follow a deliry or doting First then we are to administer those medicaments that evacuate the prepared matter among which those we term Hydragoga or water purgers are especially commended and afterward with those things that mollify and digest and cheifly Sarsaparilla unless the humor hath begun to be hardened Others are hot which are known in their first rising by a feaver that is both continual and accute a pain the breathing little but often the extension of the Praecordia a palpitation or panting neer unto the diaphragm and somtimes a kind of leaping in that place in the Progress by the doting that attendeth it the unequal respiration or breathing being sometimes smal and sometimes great swift and as soon again altogether as slow and rare They arise from a blood hot and cholerick The Cure is difficult in regard of the extream peril therein It likewise resembleth the inflamation of the Lungs Chap 2. Of the Pluresy THe Pleurifie is an inflamation of the Pleura Membrane and the adjacent muscles arising from the influx or flowing of a hot humor with a pricking pain of the side a Cough difficult breathing a continual acute Feaver a hard pulse unequal and frequent The SIGNS Pathognomick as we cal them are an extream pricking pain because the aforesaid membran which we cal pleura being of a most exquisite sence is extended by a sharp matter A Puls that is hard unequal and bearing a kind of resemblance with a Saw in regard that the part that is inflamed is Nervous A Cough by reason of irritation and transudation to use the terms of practitinors which in the beginning is dry but in the progress adjoined with and attended by a spittle that is bloody and purulent A Breathing frequent and but very weak and smal in regard that the muscles by reason of the extream pricking pain cannot be sufficiently dilated An acut feaver in regard that the inflamation is so neerly neighboring unto the Heart And al these signs ought to conspire and meet al together and not to be present in a scattering manner one after another The CAUSE is an extream hot matter or blood either pure or impure which floweth forth especially out of the vena cava or great hollow vein adjoyning to the heart by the Branch that is termed Azugos into the little thin stems and sprigs thereof which being opened broken or the pors therof dilated it â—unneth violently into the plura membran and somtimes it likewise rusheth thereunto through the upper intercostal membran but more rarely through the thoracical and that we term mamaria The Supply of the aforesaid blood is from a Plethory Cacochymy and the overgreat heat of the Sanguifying bowels It is promoted and furthered by various external Causes and cheifly a sudden chilling and cooling cold northern blast after the great and warm south wind over much and violent exercise c. There is good hope of a CURE if the spittle receive a mature and speedy concoction and be easily and fitly cast forth and if on the foruth day the sick person spit forth that that is white light equal and this by coughing three or four times be terminated on the seventh day and if on the seventh that then it be not extended beyond the leventh or foreteenth day at the furthest if on the crittical day there happen a flux of blood out of the nostrils the Hemorrhoids or the womb with signs of Concoction if which is indeed very rare there chance a Metastasis or translation of the matter unto the joynts and the members of less account It is doubtful if there be spit forth only thin Ichores which are a sort of little ulcers if yellow choller very much mingled with spittle appear long after the beginning in regard that hereby is signified that nature attempteth nothing against the disease If the Spittle be yellow sincere and mingled with much watterishness if the said spittle be Glutinous and Clammy because this clammy quality is contracted from a burning and scorching heat if it be ful of a green â—ustiness and very frothy if it be black because hereby is signified the pravity of the humor and the extinction of the native heat if striving much by reaching doth not stay the Cough and facilitate the Breathing because hereby is manifested either the Malignity of the matter or the weakness of the expulsive faculty if after fourteen dayes it turne into the Empyema if it degenerate into the Peripneumonia or inflamation of the Lungs if it befal aged persons because that through the want of heat the matter is not concocted if it happen to those that have thick bodies and that are accustomed to excercise al things else being thereunto answerable No hopes at al if in it there be nothing spit forth if the pulse be hard little and by reason of heat very thick and most frequent if there happen in the begining thereof a flux of blood without any alleviation or ease in regard that in this case the patient most usually dyeth on the fourth day if the pleuresy be so great that the liver and the stomach be likewise drawn into a consent and fellow suffering and that also the flux diarhoea follow upon it if the pleuresie invade a Cachectical Body after some other long continued disease if from the spittle there arise a noise and much ratteling in the breast and that the continuance be dejected and the eyes veyled and blind with mists and darkness or as many times it is with the yellow Jaundis The Cure when we set upon it hath respect I. Unto the humors already flown in and likwise to those that are like to succeed and follow which are to be drawn back II. Those that are at present flowing which are not to be intercepted neither driven back but derived III. Those that are impacted and stuffed up in the part affected which are to be dispersed and scattered or removed by any manner of means IV. The Pain which is to be mitigated V. The Feaver which is to be kept under and moderated VI. And lastly the natural vigour and powers of the Body which are to be Corroborated Touching al these let what followeth be wel observed 1. That Venesection is with al speed to be administred on the opposite side for repulsion if
Medicaments that stupefie and Dul the sense and feeling as for instance the Syrup of Poppy Diacodium Treacle fresh and new c. The Differences of the Cough are Various I. One is from External Causes as a Cold Air the Vapors of Live things Rank and musty as likewise such things as are Oyly and Fat a vehement Scratching of the Ears from whence there ariseth a very painful affect of the Nervous parts which yet is the less violent if it proceed not from somthing fallen into the Trachaea or the great rough Artery and it is then also less dangerous It is Cured if the Cause be taken away if it proceed from Cold then it is Cured by the meer restraying and keeping in of the breath Another is from Causes internal to wit I. a Humor which 1. Either is viscous and clammy and then there is nothing or very little spit forth after Coughing if it hath conjoyned with it a cold temper and constitution it is then the stronger and the more violent It is cured Universals first premized by those Medicaments that cut and expectorate Among purging Remedies dilutum Agarici as Practitioners term it with a little oxymel Scillitick is of singular use and benefit Among those things that cut and expectorate the Bechicall Aquavitae of Joel the Liquor of Sugar of Hartman the Elixir Proprietatis from six drops to twelve 2. Or else such as is thin and then there is nothing spit forth because that in the very spitting of it forth it is so dispersed and divided by the breath that it falleth back upon the Lungs it hath for the most part a hot temperament and constitution and likewise a Catarrh Joyned with it and attending it The Matter putrifying inwardly exciteth either a Putrid fever or an Hectick fever or an Ulcer It is cured after that General and Universal remedies have been first made use of by those things that increassate or thicken and lenify such as are the syrup of Jujubes the syrup of Poppy rhaeas diatragacanth fridgâ—d c. 3. Or else it is contained in the lunges and then a due regard ought to be had unto the distemper or else it floweth thereunto from some other parts as the Brain in a Catarrh and here there wil evermore be present the signs of a Catarrh the Cough in aged persons is more vehement and of longer continuance because that it is not maturated and ripened and therefore the more dangerous if it be frequent and long lasting it bringeth at length to the spitting of blood or else from the inferior parts as in the dropsy the inflamation of the spleen the liver and the stomach c. II. From a Vapor which either obstructeth the Lungs or else hurteth the membrane and then for the most part the vapor is sent thereunto from other parts and diseases the Cough is dry and sometimes a little irritating and it usually happeneth when the patient either speaketh or gapeth much In the cure we are to deal with those things that remove the cause sending the vapors and likewise to endeavor the driving back and the Revulsion of the vapor c. It happneth either in Feavers which shew that the Paroxysm is now nigh at hand and forewarneth that impostumations are like soon to follow and if it remain after the termination and ceasing of the Fever it then threatneth the danger of a Recidivation or Relapse or else in the wringing pain of the Gutts by worms we cal this Affect Bermina which either by impulse of putrid vapors unto the Lungs or else by the twinging and gnawing of the Membrane of the Oesophagus which draweth the Membrane encompassing the rough artery into a consent and agreement with it and it discovereth it self by the signs and tokens of Worms III. From Pus or Corrupt matter which chanceth in the Phthisis Peripneumony Peluresy the wound and inflamation of the diapharagm c. IV. From alitle swelling or as we terme it Tuberculum that is Crude and raw from Grando c. II. One is dry in which there is nothing cast forth by Coughing either by the fault or the faculty or the Matter Another is Humid or Moyst in which something is ejected and cast forth Both these are either Recent and newly begun this properly termed Cerchnos in which there is only a light and gentle propension to Coughing continually afflicting the sick person not much unlike unto the Nauseousness of the stomach that goeth before Vomiting and this is sometime removed and ceased by the-alone holding of in the breath for a while or else it is inveterate and old bringing along with it more grievous symptoms III. One is Periodical which twice or thrice in the year by certain intervals afflicteth the Patient and most usually procedeth from a distillation suddenly and violently rushing in Another which either continually or at least with very little intermission troubleth and even wearyeth the Party which hath for its Cause either a vicious affection of the lungs some old obstruction or in a word some other fixed and rooted internal Cause Chap. IV. Of Haemoptysis or spitting of Blood HAemoptysis is the Rejection and casting forth of blood together with a Cough from out of those parts that are destined and ordained for Respiration and breathing happening unto them without any inflamation of the aforesaid parts There is no need of Signs in regard that the Affect is apparent unto the sight The Cause is whatsoever dissolveth the unity of the veins whether this happen by means of Anastomosis or a Dierisis and a Diapedesis The Cure consisteth in stanching the blood and stopping the bleeding and it especially hath respect unto the Causes Observe in it that there ought to be a revulsion made by opening a Vein in the Arm or otherwise in the Ankle if there be present a suppression of the Monthly Courses and likewise that the ill quality of the blood is to be tempered and qualifyed that the purgers are not to be hot neither strong and forcible that the inflamation in that part from whence the blood issueth forth is to be speedily averted and turned away that the clods of blood are to be dissolved and this to be effected not with vinegar alone that before ever we make use of remedyes that avert and turn aside we ought to forbear Astringents or those things that stay and stop the blood that Cold topicks must be carefully avoyded Among those Remedies that stanch and stop there is especially commended Centinody boyled in broth and applied unto the parts the pouder of Scaliger of which see more in Petreus his Nosology The differences are taken from the Causes and the parts I. One is from the Anastomosis of the veins Another from the Diaeresis and a third from the diapedesis of the veins touching al which see further in the Chapter of the Hemorrhage or bleeding of the Nostrils II. One is from the Brain transmitting and sending it which is known by this that the blood
is little or nothing frothy rejected and cast forth sometimes by retching and with a cough that there is a heavy pain in the Head that the veins in the forehead are elated and strut out it is known also by the frequent retching and stretching and the sense of heat and the tasâ— as it were of blood Gargarismes are here of singular use Another from the Jaws which is known by retching the solution of Continuity which is very evident and conspicuous when the tongue is pressed down which said solution discovereth even the Gums and the parts of the mouth with a simple exspuition the Party spitting forth nothing but what is simple and unmixed It is taken away by a Gargarism of the rinds of the roots of the wildsloe trees sumach c. Another from the Throat in which there is cast forth blood with a freqent smal and easy Cough together with a pain of the Larinx Another from the Rough Artery in which there issueth forth a smal quantity of blood that is red and hot sometimes with smal strings cast forth together with a gentle cough and some kind of pain in the part affected Another from the Thorax or Breast in which the blood is little or nothing frothy but blackish and clotty sometimes stinking and mingled with purulent matter and it is ejected with a Coughing and pain It is cured 1. By opening the Hepatick vein of the right side and the blood ought to be drawn forth by degrees and often repetitions 2. By Evacuation with Cholagogues or such Medicaments as in purging extract and draw forth Choler 3. By incrassation where Trochisques of Crabs Claws de spodio and de terra sigilata or the sealed earth of Lemnos c. are much approved of Another from the Lungs in which the blood is continually frothy colored hot compact accompanied with a Cough and void of pain and somtimes there is together with it rejected a smal quantity and portion of the said blood corrupted and putrefyed Another from the inferior parts in which a little blood is cast up by vomit together with a pain and a bloody ejection c. Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title VII Of the Affects of the Heart Chap. I. Of the Palpitation of the Heart THe principal affects of the Heart are a Distemper a Palpitation and a Fainting or Swooning Touching the Distemper especially that which is hot we have spoken already in the second Book Concerning that which is moist Cold and dry there is nothing singular that offereth it self to consideration but what we may as wel make mention of in the other Species and kinds thereof and therefore we intend to treat only of those two sorts The Palpitation of the Heart is an inordinate and by its dilatation and contraction or setling it self composed motion of the same whilest it either expelleth that which is burthensome unto it or else attracteth that that is requisite and profitable unto it or else restoreth that that is Deficient and wanting It differeth from Trumor or the Trembling of the Heart in that this latter shifteth its place but the former seateth and fixeth it self in one place alone whether it be greater or less this of the Moving faculty that of the instruments and it may happen unto those parts that are otherwise immovable The SIGNS are evident and manifest enough unto the very senses to wit the sight the touch and the Hearing The Jugular Arteries are especially those that leap and Beat and their pulse is unequal and inordinate The CAUSE is either any thing irritating the moving faculty or else a necessily of refrigeration and cooling by Reason of the hot distemper or a Defect and want of the spirits touching al which specially and particularly in the Diffeâ—â—â—ces The CURE â—s exceeding difficult for the Diseaseâ— extreamly perillous it being very acute in each particular Paroxysm but of long continuance in regard of its intermiting and frequent returns If it proceed from the Coldness of the Heart if it continue long and from yeer to yeer and make many Recidivations it then for the most part is terminated and by a Syncope concludeth in Death It Respecteth I. The Paroxysm in this Case the Fomentation of Balm and Borrage the Water of the hearts of Animals known in the shops by the Name of Aqua Excordibus Animalium of Heurnius and the Juyce of Mother wort or as we cal it succus Cardiacae c. Have their due and proper place II. It respecteth the Causes touching which we wil treat further in the Differences The Differences are taken from the Causes I. One is from a Vapor or a Windiness exciting and irritating the Expulsive Faculty of the Heart which is known by this that its approach and surprisal is sudden and unexpected that it is excited by every light and gentle motion of the Body and there often a Trembling Seizeth upon the Knees and a darkness and dimness upon the Eyes c. This 1. Is either Collected there in that same place being Resolved of a matter Old and thick and fixed in that same place oftentimes with a Cold distemper but more seldom with a hot which if it be unequal it then raiseth up many Vapors and it is to be removed and quite taken away by opening the Vein either of the left or the right Arm according as the Pulse and beating is in this or that more restless and unquiet and especially if there be present a Plethory or over fulness of pure and good blood by the application of Cupping-Glasses to the Thighs by the removal of the Cause that is constantly and continually giving in supplies of matter and moving it up and down and from place to place and likewise by the discussion of the said matter And here there availeth much the Oyl of Citrons with some Conserve the right and true Phaponticum two scruples thereof given in Wine the Confection of Alchermes the Treacle Water with Camphire of Crollius Or 2. it is sent from the Inferior Parts the Stomach the Womb the Hypocondria c. And then regard must be had unto those parts 3. Or else it is Malignant and Poysonous and then there is present an extraordinary vehemency of the Motion which passeth into an inequality of al sorts as also into a fainting of the Heart and a Syncope or Swooning fits In this case there is commended the Cordial of Crollius made of Gold the Emulsion of Margarites with the water of Borrage and Cynnamon the Experiment of Thanckius of red Cora prepared and Margarites dissolved in the water of lavender by the inspersion of the oyl of sulphur or vitriol the water of Cinnamon with the spirit of Juniper c. Epithems of Alexipharmicks 4. Or else it is not poysonous unto which those things above mentioned may fitly be applied II. One is
from a humor which is known by this that its invasion is not altogether so sudden and unexpected and that it continueth longer And this is I. Either waterish having its residence in the Pericardium which is not known but with much difficulty albeit the malady be continual and that the sick persons complain of the suffocation of the Heart It is taken away by discussives as wel such as are internal as Treacle Confection of alchermes the Species of diambra as those that are External namely hot Bread besprinkled with a cordial water and applied to the region of the heart Neither vesicatories nor venesection are here to be made use of Or else it is sent from some other parts and by its weight either burtheneth too much the veins Arteries and the ventricles of the heart so that it is thereby deprived of the freedum of its motion as it hapeneth in wounds great fear and terror c. or else by its quallity it infesteth the same which is especially wont to be done by Choler a dust and terrefied by excessive heat and then there wil be need of evacuations and revulsions For the Cauteryes if we make use of any there are no cantharides to be therewithal mingled or put thereinto Treacle outwardly applied if the matter be cold is here commended 2. Or else it is not malignant and of this what hath already been spoken ought to be understood or else it is Malignant and poysonous and then there is great variety in the Pulse which chanceth especially in regard of the greatness and smalness thereof c. III. One is from a Tumor which if it be hot the inflamation in the Body wil be so much the greater and the breathing wil be difficult if the swelling be hard and in the Pericardium the motion is then continnual and the sick person wasteth and weareth away by degrees and without any manifest Cause The Cure is to be proceeded in according to that of a Tumor IV. From Worms which are discovered by the Convulsion for the whole and entire cure hereof see in Hartman The Bezoar stone is here of excellent use V. From the defect of Spirits which is known by the foregoing of dissipating Causes It is Cured by those things that Cheer and Comfort as odoriferous wine c. VI. From a hot Distemper touching which the second Book is to be Consulted Chap. 2. Of Fainting or Swouning FAinting or Swooning is a sudden and Precipitate fayling of al the Spirits and especially of the vital powers and strength with a pulse much weakened and almost totally abolished as likewise with a cold sweat arising from an extraordinary great weakness of the Heart through the fault and defect of the vital spirits of which those that remain retire also from the External parts of the Body unto the Centre to wit the Heart According to the diversity of the degrees of this sad affect so are the names thereof various and different Ecclusis is a smal and light fainting Lepothimia and Leipopsychia is that which is somwhat more greivious and Syncope is the most sad and greivious of them al which last if it proceed so far that the pulse or beating is abolished in the whole Body it is then termed Asphyxia the reason whereof shal be declared in its definition The Signs and that first of the affect not yet present but very neer approaching are especially in persons unaccustomed thereto an Anxiety that neither was nor indeed could be foreseen a vertigo or swimming in the head a representation as it were of strange and various Colors an often reiterated change and alteration of the Pulse The Signs of the Affect present are a suden fal and failing of al the Powers of the Body a Pulse most weak and obscure and so it is distinguished from the Apoplexy the strangling of the womb the Chilness and Coldness of the whole Body but more especially of the extream parts a cold sweat and therefore termed syncoptick breaking forth and chiefly in the temples neck and Thorax which if it be with an abolition of the Pulse it is then to be accounted a sign Pathognomick The CAUSE is a sudden fayling of the vital spirits whithout which neither the heart nor indeed any other part of the body can perform its actions but as touching this we shal speak more fully in the differences There is some hope of a Cure if it be only from the single or simple distemper of the heart if it proceed from evident and apparent Causes and if it be by Consent There is no hope if the patient fal often into these fainting fits and that without any manifest cause if it befal a weak body if the sick person be not raised out of these fits after the sprinkeling of Rose water upon his face and the drinking of wine nor yet even after sneezing wort hath been administred if the heart primaryly lie and labor under this affect and lastly if it affect those that are Feverish and by reafon of the great store of humors with an inflamation of the stomach and the Liver The Cure hath respect 1. Unto the paroxysme in the which the Spirits are to be refreshed and cheered with the vinegar of the flowers of tunica a kind of Gilly-flowers the vinegar of Rue and of the Elder Tree the balsam of white Ambor and likewise by putting to the nostrils wine Rosewater Cinnamon water and carbuncle water c. When the disease is hot then cooling Medicaments but if the Affect be Cold then those Remedies that heat and warm are to be administred and unto women those things that afford the most strong and stinking savour Unto the Region of the Heart Epithems and inunctions of treacle Mithridate and the oyl of Citron are to be applied Wine that is old and odoriferous is here most efficacious II. It respecteth the intermission touching which more shal be sayd now we are come in the next place to speak of the differences The Differences are taken from those Causes that produce a defect of the Spirits I. One is that Spirits are not generated either by reason of a defect of Matter to wit the blood overmuch evacuated and the Air corrupted or else by reason of some defalt in the faculty as wel in regard of the more noted and considerable diseases of the Heart whether they be from its distemper or whether they be instrumental as in regard of the Arfects of the Brain and the Liver yea likewise of the stomach and the womb and of al these there ought to be a special and due regard had in the cure II. Another is from the Dissipation of those spirits that are generated and bred which is caused 1. by those insensible evacuations that are either habitual or else happen from the over great rarity and thinness of the skin and in this case we must have recourse unto perfumes and sweet smelling medicaments and to those kind of meats that afford a good and wholsom
Breasts or Paps Wax hard and that the swelling so add hereunto the Thorax or Chest that without extream peril it may not be thence removed Another by Resolution in which the thinner part is dryed up by preposterous Medicaments and which Galen Cured by an Evaporation of the sharpest and sourest Vinegar poured forth upon the Pyrites stone we cal it the fire stone Red hot but this was after the use of liquid and moystening Medicaments In the Curing of them al we must be sure that we have a special regard unto the Spleen and the suppressed Courses and that Emollients and Resolvers succeed one the other and be interchangably applied 2. The Scirrhus not Exquisite is known by this that the swelling is bigger than in a Cancer of the color of Ashes with an hardness and the Veins thereof somwhat black and blewish in the outward parts and that it somtimes vexeth the Party especially upon the neer approching of the Menstrua or Courses It ariseth from Black Choler mingled together with Melancholly especially in such as are barren or such which soon ceased their Child-bearing or else lastly those that have altogether a suppression of their Termes or monthly Courses In the Curing hereof among the Repellers without astriction there is commended the Unguent of Frogs of which see further in Castrensis his first Book of the Diseases of Women Chapter 21. See likewise touching the Manual Operation in the Same Author IV. A Windy Tumor which is known by this that the pain is very acute especially in the left breast with an Excruciating and torture of the Arm the whol side the Ribs and the Shoulder blades It ariseth from an Exhalation that is thick and drawn up from the Menstrua or the Seed suppressed or else from some other Excrements and so extending the said Paps In the Cure hereof take notice that a Linnen Cloath soaked in Soapsuds or else wet in Water and then dryed is commended for dissipation and when there is occasion to disperse and Scatter and that the Pain is wel mitigated with bread taken hot out of the Oven and then moystened with the Oyl of Nard the shops cal it Oleum Nardinum and of Rue Article II. Of the Cancer and Greatness of the Paps I. The signs of the Cancer in the Breasts as also the Causes and the Cure may be known and sufficiently understood by what hath been already said in the Second Book touching a Cancer Let it suffice here only to add I. That the Cancer that is not Exulcerated may be rendered and made more milde and gentle if the Courses being recalled return to their pristine state and condition either by the Course and Vigor of Nature or else by the assistance of Art and the help of Medicaments or else if the Body be preserved free from a Cacochymy either by a good order of Diet or else by Medicaments There may likewise be applied unto it that Unguent that it compounded of Lithargyrum two ounces thereof in a Marble Mortar drawn about with a Leaden Pestle and incorporated with Rose-water and the Oyl of Roses of each three ounces II. For the Cure of the Cancer Exulcerated see in Hartman who writeth that the said Cancer may be perfectly Cured with Aqua Fuliginis that hath in it a clensing Faculty and with the Oyl of Arsenick fixed and wel tempered in Plantane Water II. The Magnitude of the Paps unseemly as it is is exposed unto the sight It ariseth from the often handling and stroaking of them and especially from the great abundance of Flatulency and windiness the Retention of the Courses c. The Cure hereof ought therefore to be Endeavored because that by how much the greater and bigger they grow but so much the more easily they may be affected with the Cancer It is performed 1. By Meats that are Astringent but little or not at all flatulent or Windy 2. By Driving back the blood or other the Humors flowing unto them and here the Juyce of Hemlock and the Partridg Eggs anoynted upon the place are much approved of 3. By the Discussion of that that is already gotten unto the part affected for which purpose that Unguent that is compounded of the Dirt or Clay that is to be found in Barbers Mils two ounces thereof the Oyl of Myrtle one ounce and Vinegar half an ounce is much commended 4. By the Compression of them by Artificial ones of Lead anoynted on the inside with the Oyl of the Seed of Henbane c. Chap. 2. Of the Symptomes of the Breasts Article I. Of the want of Milk too great abundance thereof and its Coagulation or Curdling THe Symptomes of the Breasts are the Defect Redundence and Coagulation of the Milk I. The Defect of Milk according to the Nature of the Causes is twofold For one is from a Fauâ—â— in the Blood which faileth by reason of Disâ—â—â— that over dry the body from a distemper in the Liver from much rasting and spareness of Diet and lastly from extraordinary Evacuations of al which there must be care taken in the Cure Now to generate and breed Milk these things following are experimentally found to be good Namely Crystal prepared the leaves Roots and Seed of Fennel while they are fresh and green the ponder of Earth-worms prepared and taken in Wine the Electuary of Zacuthus in the Ninth Book of his Pract. Hist and last Chapter Another is from somthing amiss in the Lactificall or Milk breeding Faculty when it is so weak that it can neither attract the blood nor contract it either by reason of External refrigerating Causes and such as are likewise Astringent or else by reason of other Diseases unto which we ought to have due respect in the Cure II. The Redundance or over great store of Milk proceedeth from the abundance of blood and a strong Lactifical Faculty In the Cure the Luxury and prodigality of Nature in the breeding of Milk is to be restrained and the Milk that exceedeth and is over and above ought to be dissipated and dryed up For this purpose venesection in the first place is approved of and then driving back by Medicaments which ought to be put upon the Paps towards the Arms And also those Medicaments that wast away and lessen the Milk such as that they cal Muria a kind of brinish Liquor or Pickle with the pouder of Cummin and Hemlock Boyled in Chervil Water and Vinegar c. III. The Coagulation or Curdling of the Milk is then Caused when the more thin and subtile parts do by little little exhale the thicker remain behind from whence the Glandules or Kernels wax hard and swellings yea and also impostumes arise In this Case the Infant ought not to be suckled out of the Breasts affected and yet notwithstanding the Milk is to be suckt out lest that which is bred anew should be Curdled by that Milk that is already become as it were Cheese and that part of the Curdled Milk that begins
to be dissolâ—â—d should putrefie For the Dissolving hereof excellent good is that broth that is made of the stalks of the Herbs following together with an Ablution or washing of the Paps with Water Wine and Vinegar mingled together a Fomentation of the Decoction of Marsh-Mallows Fenugreek and Melilote c. A Liniment laid thereupon of the Oyl of Roses Sweet Almonds the Juyce of Smallage and Parsly and Vinegar in which there hath been first dissolved the Curd or Runnet of a Hare The Water of Hemlock is thought to be good for both the foresaid Purposes And so much of the Diseases of the Chest or middle Region THE TENTH BOOK OF THE IDEA OF PRACTICAL PHYSICK Concerning the Diseases of the lower Belly Title I. Of the Affects of the Gullet Chap. 1. Of the Diseases of the Gullet THe Diseases of the lower venter comprehend under them the affects of the Gullet stomach Guts Anus Mesentery Liver Spleen Kidneys Bladder Genital Parts in Men and Women the Navel and Belly The Diseases of the Gullet are Distemper Tumor Straitness Wounds and Vlcers Article I. Of the Distemper and Tumor of the Gullet 1. The Distemper of the Gullet is a recession of it from its Native to a preternatural Temper it s known by the swallowing being hurt 'T is divided into a hot one which happens from without from fumes pouders c. from within from Vapors in burning Feavers a hot and dry Distemper of the Womb and then there is perceived a Redness and Roughness on the Tongue with thirst which is cured by cooling means somwhat clensing 2. into a cold one which either proceeds from too cold drink or otherwise and is taken away by things that heat 3. Into a moist one which issues from the Defluxions of catarrhes Salivation c. and Causeth a Relaxation of the Gullet so that the lower part of it and the upper mouth of the Stomach lie open 4. Into a dry one which ariseth from dry things and Causeth Roughness and is Cured by suppings of Chicken Broth or fresh butter II. A Tumor of the Gullet is its excess in its Magnitude 'T is known by the pain in swallowing most of al in the hinder part and back by the stoppage in swallowing so that if a great bit be to be swallowed somtimes the drink runs through the Nose it proceeds from the same Causes from which we said Tumors in general did arise 'T is often hard to cure because it endangers Suffocation but after the same manner as other tumors viz. In the beginning by replling means in the Augment by external and internal resolvers in the state by discusives let vomits be avoided for fear of suffocation unless when t is come to suppuration that the Tumor ought to be broke 'T is divided I. Into a hot one with which is Joynd a Feaver great thirst pain in the Cure of which bleeding takes place and into a cold one in which the pain is less and in the Cure of which the repellers ought to be gentle the resolvers and discussives stronger II. Into that which possesses the upper part of the Gullet and then meat cannot go down and into that which infects the lower part and then the Meat after it hath descended a little way stops there Article II. Of the Straitness wounds and Vlcers of the Gullet I. The Straitness of the Gullet is when its Passage is Contracted 't is known by this that liquids are easier swallowed than solid things 'T is divided according to its Causes for one is from external Causes as from astringent medicines or some things swallowed and then the business is known from the standers by or the Patient himself it must be cast up by vomiting or Coughing or furthered by moistning and Emollient means applied outwardly and inwardly or be thrust down with a Spunge Dipt in Oyl of sweet Almonds or taken out with that excellent Instrument of Fabricius Hildanus Another Cause is from a Tumor Worms ascending out of the Stomach and Guts from Scorbutical and Hypochondriacal Vapors distending the Gullet and compressing the rough Artery from the Luxation of the Vertebrae of the Neck and back which may be seen in their proper place Another is from thick Flegm kurdled milke c. Sticking in it where Oxymel of squils and vomits takes place II. The Wounds of the Gullet in respect of their Causes are twofold for either they are Caused by a weapon and then the situation of the wound shows it if vomiting happen somwhat is cast forth through it and t is hardly Cured Or from some smal bones swallowed and then t is easily manifest Medicines that are grateful to the Stomach ought to be administred III. An Ulcer of the Gullet is known by the pain when some sharp sour or Salt thing is swallowed though in little quantity by its biting and by the casting up of matter 'T is hard to be Cured because the parts wil scarce grow together in a Membranous body It hath its Differences from the Causes for one is from external corroding things as Aqua Fortis mercury Sublimate and then we must work with Lenient Vomits and such as are clammy as the Mucilage of quince Seeds Fat broths Another is from a wound Tumors imposthums another from the casting up of sharp Humors c. Chap. 2. Of the Symptomes of the Gullet AMongst the Symptomes of the Gullet the Principal one is the hurt of swallowing which is twofold for one is by Reason of the resolution of the Gullet the faculty being hurt by Reason of the Resolution of the Nerves of the sixth or seventh Conjugation it s known by this that solid things are easier swallowed than liquids as being thrust down with less labor for these require a greater force to make them yeeld to the impulsive Body It ariseth either from a Defluxion and then there is felt a heaviness in the Head a distension of the Neck and the Rheum it self or from some other Disease t is dangerous and ought to be cured by Medicines good against Palsies the Second is by Reason of Convulsions which ariseth also from a wound and t is most dangeous in old people There is another from the affects of the part of which we have treated formerly Title II. Of the affects of the Stomach Chap. 1. Of the Diseases of the Stomach THe Affects of the Stomach are either diseases or Symptoms to those belong distempers Tumors wounds and Vlcers the other see hereafter Article I. Of the Distemper of the Stomach in general The Distemper of the Stomach is a preternatural constitution of its similar Parts in the first qualities The SIGNS of that are the hurt appetite and concoction a change in the Excrements a heaviness in the Stomach and waving of it and distillations from the Head which most commonly happen The CAUSE is whatsoever can Internally or Externally alter it The CURE is performed I. By the alteration of the distemper by contraries then the Medicines ought
to be grateful to the Stomach rather solid than liquid rather meats that are Medicinal than exact Medecines mixt with astringent things that the Stomach be not Relaxed not sharp Salt corroding lest they offend the mouth of the Stomach if the Medicines be external they must be applied to the sword-like Cartilage towards the Navel and upon the back to the twelfth and thirteenth Vertebrae II. By taking away the Causes both External and Internal III. By Strengthening the Stomach where appropriate Medicines take place as the Magistral of red Coral the inward Coat of a Hens maw c. 'T is divided into a distemper without or with matter of which in the following Articles Article II. Of the Distemper of the Stomach without matter A Distemper of the Stomach without matter is a preternatural disposition of the similar Parts of the Stomach in its qualities produced by external and Internal Causes without the presence of any Humor Its SIGNS and Causes shal be explained in the differences the Cure relies only on alteration and removing the Causes 'T is divided according to the qualities I. One is Hot which is known from the want of appetite to meat indorous Belchings clamminess of Spittle dryness of the jaws and Tongue it ariseth externally from the six non Natural things encreasing its heat internally from internal Diseases burning Feavers Inflamation of the Liver Spleen c. 'T is Cured 1. With cooling things but lightly and not too long applied 2. With cooling Diet where Barley Water takes place and Emulsions of the four greater cold seeds II. Another is cold which it known from the greatness of appetite unless it be too cold by sour belchings if neither much nor cold meats have been eaten nor flegm do abound by wind and two much spitting It ariseth externally from the six non Natural things internally from the parts incumbent as the Liver Spleen and Muscls of the Belly which induce a coldness 'T is Cured 1. By appropriate heaters but not too much inwardly and outwardly moist lest driness be caused 2. By Diet where Wormwood Wine takes place it is distinguished into a positive of which we have now treated and a privative which is conjoined with driness It ariseth from the defect of innate heat which is Caused by things that heat too much as the frequent use of Wine the want of nourishment the heat and driness of the incumbent Parts as of the Liver of the muscles of the Belly and the Cal. III. Another moist which is known by want of thirst by abundance of spittle c. it ariseth from external Causes inducing moisture it is Cured 1. With dryers without eminent heat or cold as are the ashes of Hens Guts of Swallows burnt harts horn red Coral troschiskes of Vipers Galangal burnt Salt 2. By a contrary Diet. IV. Another dry which is known by the extenuation and Contraction of the Region of the Stomach which is accompanied with a slenderness of the whol body It ariseth externally from a drying Diet too much emptying and fumes of mettals internally from the dryness of the incumbent parts The cure is the more difficult because with the Feaverish heat it induceth a consumption if vomiting happen it argues a great want of innate heat the Cure is performed 1. By moistening which is best of al accomplisht by nourishments that are medicinal 2. by Diet where Milk takes place beginning with a smal dose new layed Eggs Almonds Raisons Pine Nuts c. There is another compound the Nature of which may be collected from the simple those that labor of a hot and dry distemper have little blood unfit for nourishment are lean bound in body with Veins eminent subject to the dry Scab Article III. Of the distemper of the stomach with matter A distemper of the stomach with matter is when the stomach fals from its temper by reason of some humor either generated there or falling thither from some other place The Signs and causes are put in the difinition in the differences they shal be more largely Explained The CURE is finisht 1. By the alteration and evacuation of the peccant humor 2. By strengthning of the part by appropriate external meats Looke into the differences The Differences of this Distemper are Divers One is from the matter generated in the stomach then the symptoms appeare continually the whole body and al the members are sound It is cured by emptying of the matter which is comodiously done by medicines of aloes hiera picra mechoacan and by corroborating the part Another is from matter falling from another part then that part which was periodically affected is no longer troubled some accustomary evacuation is supprest or the usual diet hath bin changed or somewhat stops in the whole body or in some particular part The symptomes are more remisse For the cure we must have respect to the parts that send the matter II. Another is from the matter sticking in the cavety of the stomach then there is a waving or nauseousness which is attended with vomitinge or a loosness Another from the matter impacted in the coates of the stomach then there is a nauseousness without vomiting oftentimes with the hickops III. There is another chollerick viz. hot and dry which besides the former signes is discovered by nauseousness bitterness of the mouth with a certain sence of knawing and sometimes by chollerick vomitings It ariseth from choller either sent thither from the bladder of gal or generated there from corrupt meats 'T is cured 1. By dyet wherein chicken broath seasoned with lettice and endive doth excel 2. By emptying of the matter both by vomits made of the pouder of the down or flower of walnuts dryed in the smoak and given a dram weight in honey and water and purgers compounded of hiera picra 3. By alteration and coolers and moisteners amongst which do excel succory and violet water syrup of pomegranates of coral of Quercetan of strawberries currans tincture of roses letâ—â—ce and succory condite c. IV. There is another flegmatick to wit cold moist which is known both by the signs formerly reckoned up and by a sence of heaviness in the stomach especially some hours after meat by a waving sowr belching it proceeds from thin or thick flegm t is cured 1. By emptyers both by vomit to which in thick flegm we ought to premise things incisive given in a solid form amongst which excels diatrion pipereon diacalaminth the essence of balme penny-royal c. and by purging so that the purges be administred either alone or mixt with preparatives The vomiters are viz. of salt of vitriol given in broth oxymel with the decoction of radish Heurnius his vomiter of hellebor 2. By strengtheners amongst which excels inwardly taken the roots of callamus aromaticus and citron pills and of oranges with the phylosophical spirit of vitriol and the Elixir proprietatis outwardly ointments compounded of the distilled oyls of wormwood mint cudmin peneroyal mastick a
cerote of one part of pure Ladanum with too parts of wax applied an hour before dinner is good 3. By a contrary diet Article IV. Of the tumors of the stomach A tumor of the stomach is when the same is elevated into a bulke or magnitude greater than is due It contains under it three things I. Inflamation which is known both from the general signs and also from the vehement pain heat thirst a most burning feaver vomiting or often going to stool unless when the orifice or pylorus is possest to these are added the symptoms of the principal faculties if the brain be drawn into consent It ariseth from blood preternaturally poured forth by the veins derived from the porta whether it be pure or mixt whether sent thither or attracted T is cured after the manner of other inflamations where observe 1. that emptying by vomiting or stool is not convenient unless where there is an eruption of matter collected 2. Bleeding is rather to be repeated than to take much blood at once 3. Amongst external repellers sugar of saturne with plantaâ—â— or nightshade water adding a little of wormwood or mint is commended internal things ought to be administred with a moderate actual coldness 4. resolvers which ought to be gentle and Emollient must be corrected with astringents by reason of the excellency of the part 5. If suppuration cannot be prevented the heat must be cherisht with things moderately hot moist and clammy both inwardly and outwardly 6. The imposthumation may excellently wel be broken either with the juice of Scabious alone or mixt with honey 'T is divided according to the parts of the stomach One is of the whol stomach in which what posture soever the sick lyeth down in he is ful of pain Another is of part of the stomach 1. Either external in which the pain after the concoction of the meat is encreased by reason of the intension of the transverse fibres the appetite is not very bad nothing of the impostumation is cast up by vomit Or of the internal part in which al things are contrary but 't is better if the matter pass into this than under the peritoneum because there it may easily be purged forth but here not so 2. Either of the upper part in which because 't is endued with exquisite sence there happen most greivous symptomes and the strictness is most of al perceived towards the latter end of swallowing where the attraction is strongest Or of the lower part in which the pain is encreased more in the disgestion of the meat 3. Or of the former part in which the tumor may be perceived by the touch Or of the hinder part in which if the outside be affected the sick can hardly lie down on his back if the inside not easily on his face II. An Oedema and Schirrus of which we meet with nothing remarkable III. An Inflation when the magnitude of the stomach is increased by wind conteined in its capacity 't is knowen by its distension molesting the region of the stomach above the navel by the tumor and by its resisting the touch by belchings with which the malady is eased It ariseth from matter ministring wind of which in its differences T is hardly cut'd if it befal one recovering because it signifies a relapse if it be in acute Feavers because it shews that the natural heat is wasted by the preternatural if it last long because it endeth in a dry dropsy How it may be be cured see in the differences 'T is divided according to the nature of the causes 1. One is from windy nourishment which is knowen by the patients relation 't is cured with good dyet and discussives to wit with balsome of fenel oyl of carawaies inwardly and outwardly applied by baths of warm water in which are boyled danewort roots by baggs by bread hot out of the oven sprinkled with oyl of Rue 2. Another is from a flegmatick matter which causeth wind and is known from the signs of a flegmatick distemper 't is taken away by emptying the matter prepared and discussing the wind a great cupping glass also doth discuss being applyed with much fire without scarification and often repeated and one dram of sows pasterne bones burnt and prepared with Rue water given in a draft of wine Article 5. Of the wounds and ulcers of the Stomach I. The wounds of the Stomach are known from hence that the belly is loose deeper over against the Stomach hickops and vomiting of choler do ensue sometimes the meat and drink is cast up again They are no waies cured if the whol body of the Stomach be perforated or if its upper part about the orifice be wounded very difficultly if only the outer coat and if the bottome of the Stomach which is fleshy and able to endure medicines The cure is accomplisht as in other wounds mastick any waies taken is good The wound that penetrates and is large ought to be sowed up leaving an orifice in the lower part they must abstaine from al sharp things in their dyet II. An ulcer of the Stomach is knowen by the pricking and ulcerous paine by a heat molesting above the navel caused by the receiving in of hot meat by stinking belchings by causes generating ulcers by a slow feaver c. It arises 1. From external things as sharp medicines and poysons and then the relation of the patient which shew it 2. From sharp humors there derived from some other part or generated there and then we must have recourse to the distemper with matter 3. From an impostumation broke after inflamation and then this was precedent 4. From the rupture of a veine and then vomiting of blood proceeds 'T is hardly cured both because detersives cause paine and because being alwaies moistened by the chyle it cannot be dryed Inveterate ulcers cause a lientery In the cure note 1. The humors if there be any ought to be brought forth only with lenitives 2. Vomits are wholly to be shunned lest that which is ulcerated be delacerated more 3. To internal consolidating medicines somwhat moderately abstersive is alwaies to be mixed Chap 2. Of the Symptomes of the Stomach Article 1. Of the pain and heat of the Stomach THe Symptomes of the Stomach are Paine Heat want of appetite too great appetite a vitious appetite too great thirst hurt of concoction hickops belching rumblings nauseousness Vomiting and the Cholerick passion I. The paine in the stomach is a sad sensation of the same arising either from things that distend it or knaw it and so dissolve its continuity There is no need of Signs in this symptom unless the patient be diseased in mind The Cause is explained in the definition and we shal be more large of it in its differences The Cure hath respect unto 1. The symptome it selfe if it be too urgent in rebating of which a bagg made of the roots of marsh mallows camomel flowers red roses wormwood is good Quercetans anodyne water
of the parts about the stomach if it proceed from the Ileon because t is an argument that some nervous part which hath consent with the brain is affected if it be joyned with losse of speech It respects 1. The symptom it self which is restrained by things stupefying as of philonium romanum one scruple saffron cinamon each two grains Laudanum Opiate one grain with oyl of sage as much as is sufficient 2. The causes concerning which consult with the differences The differences are taken from the causes and other things 1. One is from external causes as refrigeration either by reason of the ayre or cold drinke where holding of the breath and anointiag of the back and stomach with hot oyls doth help From sharp nourishments or medicines where Ptissan drink or oyl of sweet almonds is a remedy from too much emptying which is followed with a driness and corrugation of the stomach where an imulsion of the four seeds with temperate anolepticks takes place From corrupt meats which aloes wil purge forth from poyson taken which treacle resists Another is from internal causes as are 1. hot and acrid humors which require a vomit or gentle purge by the use of terra sigillata or bole armonick they grow more mild 2. Cold humors which must be prepared and emptied the extract of castor is of force oxymel of squils Elixir propriates and sneezing takes its place 3. Winde which is discussed by a nodulus compounded of dil and poppy seeds by oyl of Cumming seed or by the imposition of oake ashes sprinkled with mallego wine aplaister of bay berries 4. Matter which is wont to be in an inflamation of the liver 5. internal diseases as an inflamation of the liver wombe stomach brain or some other part also a feaver in which observe in the begining of the feaver it ought to be taken away by gentle evacuation in the state we ought not to feare because t is a signe there wil be a crisis by vomiting in the augment it signifies either that the humor flowes to the cavity of the stomach and then the hickops is sildomer and by taking of meat or a gentle medicine 't is layd or into the substance of the stomach and then the hickops is so frequent that by reason of it the patient seems to be choaked it must be stopt by stupefactives if by reason of the vehemency of the feaver we may not purge Article 8. Of belching and rumbling I. Belching is a violent breaking forth with noise of wind residing in the Stomach through the upper parts There is no need of signs to discover it for it is manifest The CURE must not be neglected for if they be frequent and much they signify the vehemency of the cause and trouble digestion if they be before meat they dispose to the colick if after to the dropsy Yet belching is good if it be supervenient to an asthma if it happen in a long loosness when as it was not before because it is an argument that there is againe some concoction It respects principally the cause of which elsewhere The CAUSE is wind generated in the stomach or sent thither from other parts especially from the hypochondria As concerning the differences 't is divided threefold I. One is moderate which because it voids by the mouth windy excrements is not to be stopped another frequent which is to be taken away II. Another is acid which is either from meats of hard concoction or from a cold distemper of the stomach and then honey sugar and other things turne sowr If it continue long it threatens a dropsy or lientery The sick are not easily subject to a pluresy The cure is to be turned to the distemper III. Another is Nidorous which is either from the meats sending such a vapor from them as are radishes onions fryed meat fryed eggs or from the too much heat of the stomach So corrupting the meats whether it be so either essentially or by consent IV. There is another insipid which proceeds either from flatulent meats or from the plenty of it and if a long time after the takeing of the meat it savour of the same it signifies a great weakness of chylification II. Rumbling is a sound of the belly caused by humors or wind running up and down the Stomach or gutts It hath the same causes the differences are alotted both according to the diversity of the sound whose cause is plenty of excrement and the largness of the passages and the nature of the part in which it is conteined For it is dry and thin which makes an acute sound moist and thick which makes a grave or base It is either in the thick guts from whence the graver sounds break forth or in the smal gutts from whence the clearer and acuter and if there be moisture with it there ariseth a smal murmuring which is the fore-runner of a moist stoole at hand It is either in the cavity or within the coats nay there hath been knowen a wind that ascended to the throat making shew as if it would suffocate and after an hours space hath returned to the stomach Article IX Of nauseousness and Vomiting I. Nau eou ness is a vaine desire to vomit with a sad molestation heat and anxiety by which the stomach contracting the lower parts and dilating the upper doth endeavour to cast forth those things which are offensive to it but by reason of weakness or the scarceness or contumacy of the matter it voids nothing by the mouth but a thin watry humor There is no need of Signs the causes are declared in the definition and differ only gradually from those which cause vomiting therefore we shal treat of them when we do of vomiting II. Vomiting is a sensible and palpable casting up with violence through the upper parts the matter conteined in the capacity of the stomach There is no need of signs when as the symptome is manifest But the business is not of that which is Critical which happens as the work of nature for the benefit of the sick and either lessens or takes away the matter but of that which is symptomatical which is foretold by a paine in the head caused by consent darkeness appearing before the eyes rigour coldness of the lower parts of the hypochondria moveing of the lower lippe the flowing forth of much drivel c. The cause is whatsoever can offend the upper orifice of a weak stomach and irritate it to expulsion either by its plenty or biting quality or by the nature and disposition of its substance The Cure is difficult if al colours be vomited because they signify dangerous affections in the body if that vomited be of a leek color or black because it indicates an excessive heat in the veins and great corruption of the humors unless it proceed either from the crudities of some meats or be critical 'T is past hopes if the matter be livid and smel strong because it denotes putrefaction with an
are exprest in the definition The CURE which also must be hastened doth respect 1. The bringing forth and discussing that flatulent spirit where Clysters and carminative decoctions take place 2. A Removal of the Cause from which it ariseth of which in the differences As concerning the Differences One is From the fiery heat of the stomach corrupting the meats and converting them into a nidorous matter and sharp vapors in which the cure must be turned against a hot distemper and outwardly the boyling hot hypochondries must be cooled Another is from sharp and windy nourishments as Raddish Rocket Seed fryed Egs and the like and then the matter must be emptyed and give diartion Piperion Another is from Black-choler and other adust and Salt Humors lurking about the Hypochondries and growing hot by the mixture of another Humor as we see Salts and saline spirits being mixt with acrid spirits do yeild a great quantity of spirits Title III. Of the Affects of the Guts Chap. 1. Of the Diseases of the Guts THe Diseases of the Guts are Cheifly Inflamation Straitness Wormes Rupture Wounds Vlcers and the affects of the right Gut Article I. Of the Inflamation of the Guts An inflamation of the Guts is a swelling of them arising from blood out of its vessels falling into them and putrefying The SIGNS are a fixt and distending pain the perceiving of a Tumor that the Guts may be perceived to be rowled up like the strings of an instrument costiveness of body a stoppage of the Urin a Feaver present The CAUSE is explained in the definition In the Autum the blood chiefly flows thither by reason of its thinness because the thin and moveable Humors generated in the Summer by the inequal cold of the Autum are driven to the center of the body The CURE must be ordered according to the rule of other inflamations and that quickly because the evil is acute and oftentimes turnes to a gangrene and mortification The cooling Medicines which are administred for it ought to be without astriction we must wholy abstain from Purgers lest the place affected be exasperated 'T is divided according to the place and Causes I. One is of it self of which we have now treated another from the Navel Rupture of which in its place Another from the Rupture of the guts in which the Guts ought presently to be put back into their place Another from a contusion in which to those things which are applyed for the inflamation must be added somwhat lenifying and concocting II. One is in the smal guts which is most common in which a distention of the stomach straitness of breathing daily vomitings do molest that they are not able to contain their drink the pain and Torture tends most to the upward parts Another in the great Guts in which the pain reaches more to the Hypochondries there is a heaviness in the Loins and vomiting is not so continual Article II. Of the Straitness of the Guts The Straitness of the Guts is known cheifly by this that the Excrements of the Belly are not rightly cast forth by stoole It hath its Differences according to the Nature of the Causes I. One is from External things that are astringent and drying as quinces and other things which is known by the relation of the Patient and standers by In the Cure are required things moistening and mollifying fat things c. II. Another is from the Excrements hardned obstructing them which is known by this that there is no Tumor pain yet the Excrements are not cast forth It ariseth at that place especially where the smal and great Guts end either from too dry matter and drink to much diluted or from the heat of the neighbouring parts sucking up the moisture 'T is Cured by Mollifiers by a bath of sweet Water with emollient Herbs by the Grease of a rosted Goose cast in by a Clyster by blowing up the Guts with a Pair of bellows which must be followed with a strong Clyster with half a dram of Sal gema III. Another is from Inflamation of which we spake in the former Chapter IV. Another from the growing together of the Guts which is incurable V. Another from a Rupture or worms of which shal be spoken hereafter VI. Another from thick Flegm which is known by this that Causes generating that went before crudities flowness of the belly to stoode and much wind abound It ariseth from the fault of the Dier and the feeble heat of the Guts and if it stick there long it grows so thick that it wholly stops up the Guts It is Cured by things that cut flegm and sharp Clysters concerning which consult with the Chapter of the Cholick Article III. Of Worms Worms and smal creatures wholly preternatural generated in the guts out of a thick clammy and viscous Humor having in it the principal of life in its kind by a vivid heat raised up by putrefaction which do hinder the actions of the Guts The common signs are many to wit a stink in the mouth disturbed sleep with skipping trembling noise and gnashing of the Teeth Itching and often rubbing of the nose a pale face somtimes by fits ruddy hollow and dark Eyes the white of which is changed into a Saffron or Pale running of drivel from the Mouth more than usual a distension and puffing up of the belly with murmurs a knawing in the belly that exasperated in the time of hunger somtimes a loosness vomiting falling-sickness If in the morning while Children are fasting cold water be sprinkled on the Mouth of the stomach they wil al gather together and this sign hath most weight with it if the Age of the Child wil bear with it The CAUSE is a viscous and Flegmatick Humor which ariseth from much eating meats that easily corrupt generate a thick juyce as cheese Milk pulse decaying fruits sweet things sugard things honyed things c. It hath somthing analogous to seed endued with a formative faculty and a vivifying discretion which doth dispose the matter to receive this and no other form of worm and being disposed doth Cloath it with that from as we see peculiar worms do proceed out of wormwood Sea Salt a Horse a calfe Mulberry leaves Cheese Honey The CURE which is Difficult if there be many great ones red and of divers colors living if in the beginning of Feavers and acute Diseases as also in the augment by the malignity of the Disease they be Symptomatically voided Is Performed I. By things that kil them those which are bitter acrid Salt or enemies by their whol propriety ought to be given upwards but alwaies mixt with sweet things downwards premising sweet things then when they are in the lowest places or in the right Gut with them Oyl ought to be mixed that they may be stifled in it with cheese butter which they exceedingly fear The chiefe things that kil them are hot as Coralline given in pouder one dram Wormseed centory the less peach flowers Myrrh
Roses Oxymel of Squils with a Mixture of things a little astringent Another is by default of the Expulsive Faculty which is provoked 1. By an ulcerous Disposition residing in the Superficies of the Guts and Stomach like pustles 'T is known from hence that there was no Coeliaca going before and there is a sense of knawing and pain in the stomach In the cure if the Stomach be in fault eschew vomits let the Belly be loosned with lenitives having some astriction avoid Fat things If the Guts be affected vomiting is good 2. By sharp humors whether generated there or falling from some other part especially the Liver It is known as the former disposition The cure is hard if it be of long continuance because it passeth into a dysentery if it be with difficulty of breathing and a pricking in the side and the humor fal down from the brain so that part of it fall upon the breast because it ends in a consumption If it be long with gripings wormes and paines because these being over it hath a swelling followes The sharpness is abated with the decoction of baâ—ley succory other cooling things if it continue long rhubarb prepared in rose water is effectual 3. From the taking of poyson and then things alexipharmacal must be mixed the juice of dittander with syrup of pomegranates is commended II. A Coeliaca is a suddaine passing of drink and meats out of the stomach into the gutts in which they flow forth like unto chyle or a milky substance The Signs are evident This passage is compleated within six or eight hours after meat so that the thinner and subtler parts of the nourishment are alterd and concocted and so pass into the nourishment of the body yet the body because it is not sufficiently nourisht wasteth a way The pulse is frequent and heat afflicts as if there were a feaver when they are going to stool some light fainting seize on them Before it breake forth the belly is distended and struts out The CAUSE of it is cheifly the il distribution of the chyle which is bred by the obstruction either of the mesentery spleen or liver and then the chyle is voided white the obstructions must be opened Or the weakness of the attractive faculty in the liver and then the chyle is somwhat dyed with a little reddish colour the liver must be strengthened Or the immoderate Quantity or corruptible nourishments and drinke for hence there is much filth heaped up in process of time being increased in those parts t is corrupted and by its quantity or quality provokes the expulsive faculty The CURE Respects the Causes as we have said al the superfluous humor being emptied the flux stayes of it self somtimes on the same day it began sometimes on the next Point 2. Of the Diarrby A Diarrhy is an immoderate frequent and continual going to stoole in which excrementitious and sincere humors by their quantity or quallity stiring up the expulsive facculty of the stomach and guts do flow forth without an inflamation lientery exulceration Tenesmus or vehement sence of paine There is no need to touch upon the Signes for they are explaned in the definition The Cause is al that which doth preternaturally irritate and encrease the expulsive faculty of the stomach and guts on the contrary doth debilitate and destroy the retentive whether it be done by it self or by consent The Cure is difficult if it befal a great bellied woman because it withdraws the nourishment from the child by moving relaxes the ligaments and by raising up of filthy vapors causeth abortion 'T is easier if vomiting succeed because there is a revulsion of the matter from the lower parts to the lower If it happen after an ophthalmy because the matter is revelled from the upper parts to the lower If it be supervenient to one sicke of a dropsie though it be violent at the begining of the disease in ful strength and the bowels sound because there is an evacuation made of the matter causing the disease from the whole habit of the body by the stool It must not presantly be attempted if such matter be purged as ought to be if it do good and they beare it easily if there be no feaver For oftentimes to have a flux for one day or more is healthful if it stop within seven dayes if it be presumed from the circmstances to be critical 'T is accomplished 1. By Emptying of the matter it selfe By rhubarb in substance mechoacan tamarinds myrobalanes and syrup of roses solutive 2. By revulsion which is done by bleeding vomiting frictions ligatures urine sweats 3. By the use of astringents of which if we consider the simples the cheife are tormentil roots Plantane avens sloes The leaves of plantan loosestrife shepherds pouch The seeds of Purslane of cresses torrified The flowers of roses pomegranates Woods red Saunders Spices Nutmegs Minerals terra sigilata bole arminicke Chrystal c. If the compounds they are Tragaea of Elder berries Quercetan in his pharmacopoea c. 21. the bones of a man calcined terra dulcis vitrioli crocus martis burnt hartshorn new treacle old conserve of roses diascordium sperniolae compositum and if the flux be too vehement Philonium Romanum and laudanum opiate 4. The diet in which steele water takes place an immulsion of sweet almonds in tormentil water or the decoction of Oake leaves the pouder of diatragacanthum in reer eggs c. The Differences of a Diarrhy are Various I. One is from things external as purging medicines causing a super-purgation which is stopped with the root of dropwort given in wine by steeled milk given by glyster by laudanum opiate From poysons against which alexipharmaca must be opposed especially some graines of an emrald praepared in a convenient water Another is from things internal of which hereafter II. One is from the whol Body which is either with a Feaver or without a Feaver as shal be said in the following Difference Another is from some part which see in the fifth Difference III. One is with a Feaver the matter causing the Flux being transmitted from the whol Body which is known by this that things very crude moist and watry are cast forth with a noise either often and little at a time or much and altogether and there are present the Signs of a Feaver 'T is hardly Cured if in a disease of long continuance with lothing of meat stools be sincere that is such as have no watery moisture mixt with them because they shew a burning up of the native moisture by a weak heat if they be voided with often noise and too much because that argues a crude stoole from vitious humors this because the often labor of going to stool causeth deliriums and these have danger of fainting depending on them If the stooles be thick white green yellowish frothy because they demonstrate crudities a disturbed flux plenty of yellow choler in the guts a mixture of a windy spirit with the humor
in that a beating pain doth precede neer the affected place and there is neither biting nor looseness c. The CAUSES are sharp Humors corroding the Guts and peculiarly offensive to them conteining I know not what Antimonial Helleborine or somwhat like unto the Sea Lungs offensive to the Lungs and like to Cantharides inimicous to the bladder These infected by a Dysenterical Contagion peircing into the Veins and arteries do cause a Fermentation and imprint a disposition like unto it self by a stain on the whol mass of blood and stir it up with the other Humors as purgers do they fix also an evil disposition on the Guts so that the chyle passing by is changed into a vitious Humor and the Excrements of the Belly receive not a natural Elaboration and quality Somtimes in human bodies they are rendred such by the occult influences of the stars hence sucking children who never came into the open aire and were only nourisht with their Mothers Milk are somtimes taken with a Dysentery But they have their Original from Waters carried through Leaden and Old condites from the spring Aire rainy and southerly after a dry and northerly winter both by reason that the drying up of the Humors is hindred and by the strong puttefying power in moisture from a hot and dry Aire thence at the begining of the autum and end of the Summer this Disease is raised and Reigns cheifly in the hottest Countries From evil and unaccustomary Meats hence in Aegypt and India 't is common because they feed on the flesh of beasts which are nourisht by Cassia Fistula From autum Fruits both because they easily putrefie and because by their astriction they retaine those which are putrefied The use of Grapes and new Wine because they make a Fermentation and are easily tainted with foulness Blasting dews The CURE is Difficult in women by reason of their tenderness and weakness in Children by reason their Guts are moister and therefore subject to Putrefaction in Old people by reason of the greatness of the cause that is the acrimony of the humors in a body indisposed and Feebleness of strength 'T is doubtful if the stools be sincere that is mixt with no waterish moisture If the effusion of pure blood be joyned with it for it shews that the greater veins are corroded If loathing of meat afflict with a feaver because the stomach being drawn into consent the concoction is weakened there is some ulcerous putrefaction in the guts If cholerick vomitings seize at the begining because it argues a great power of boyling choler which troubles the upper and lower belly If the stools be continual or that stopping a new dilute flux bloody like to an hepatick flux or a filty diarrhy do follow If it invade with a feaver or with divers colored stools or an inflamation of the liver If it happen to a woman great with child and bate not after the delivery of the child and voiding of the secundine Of some hopes if the excrements be changed unless the change be to worse if belching or farting succeed because it is a signe that nature doth begin to concoct If it befal the splenitick because the melancholly humors are carried away where we must wel distinguish between the melancholy blood concrete in the guts and black choller If it follow madness because it betokens that the matter is translated from the head to the lower parts Of little hopes if black choller be voided of its own accord no feaver going before nor good concoction appearing because it differs nothing from an ulcerated cancer If convulsions and ravings Succeed because they shew the matter is carried to the head and nerves If peices of flesh be voided because the substance of the guts cannot be regenerated nor a scarre be drawn over so great an exuleration If any one releeved from an acute disease be taken with it because his strength is not able to undergoe it If in process of the disease the hickops follow if a black pustle like to a vetch appear behind the left ear with a great thirst because it signifies death on the twentieth day The Cure is accomplisht 1. By revulsion and derivation of the humors rushing to the guts where Bleeding takes place if there be plenty of blood if it rush violently with the humors to the guts if there be an inflamation or if it be feared If the Feaver be continual If a hot liver minister matter Yet note it must be emptyed by little and little timely and at the first dayes least the strength be dejected the median or liver vaine must be opened with a smal orifice the vein of the ancle if some accustomary evaccuation be stopt 2. By emptying the corroding humors so that the stronger be avoided because they move the humors to the guts Let the purging be at the begining before there folow too great exulceration and that very often that the humor may be taken away The syrup made of the infusion of damaske Roses is commended Myrobalans Tamarinds the infusion of Rhubarb first of al not torrefied afterwards torrified if we would binde a little Mechoacan by whose frequent use the belly is dryed The decoction of myrobalans which see in Sennertus 3. By the abstersion of the same humors by glysters made of barly the yelks of egs honey of roses Sugar and other things according as the exulceration is greater or less 4. By mitigation of the pain for which serve cows milk so that the body be purged and if there be a Feaver Let it be mixt with plantane water or let it be boyled with flints with yelks of egs and the mucilage of quince seeds and cast in by glister Mulein goats suit mixt with the same a clyster described by Sennertus of a weathers head 5. By stopping of the flux by the medicines rehearsed in a diarrhy to which ad raw services if the flux be most desperate a Nutmeg rosted in the embers if there be no feaver the decoction of the clay of the furnace in steeled milke new treacle if there be no inflammation the pouder of a dogs-turd fed three dayes with bones drank with goats milke Laudanum opiate but these ought so to be administred that sometimes hot sometimes cold things be given To cooling things let hot things be mixt that helpe concoction al in a smal quantity least the flux be stopt suddenly and let them be given often because they stay not long in the guts 6. By the use of mundefiers and things that fil up the hollow ulcer c. in which observe that when as the pain is exasperated by the use of detersivnes the glyster being voided another must be given made of milk 7. By the application of topicks concerning which note that astringents are of force rather in lean bodies than in fat when as in these they cannot penetrate Things very cold neither vertually nor actually must not be chosen vinegar or thin white wine must be mixed with them Cataplasmes
the Epigastrical branch of the Vena Cava and are disseminated to the external parts of the right Gut viz. The Muscles of the Anus but they are two having an Artery joyned with them from the Hypogastrical Artery Yet they seem al to have communion one with another It is known by the sight and because 't is greater 't is also more dangerous In the Cure external things have a convenient Application II. One is by default of the blood which either is too much and then there are signs of fulness we must revel by bleeding in the Arme or if strength wil not bear it by fixing Cupping-Glasses to the Loyns or Hypochondries Or sharp and thin and then it happens most to Southern people especially to men that are Sanguine Serous Humors if strength wil bear it ought to be emptyed if not we must use coolers and things that thicken the blood amongst which Purslane Trochiskes of burnt Ivory and Amber do excel Or it flows from the Liver and then 't is like to Water in which flesh new kill'd is washt The Syrup of corals is good Or from the upper Parts and then the blood is black and burnt Or from the Mesentery and then 't is little somwhat white Serous Or from the Guts and then 't is mixt with the Excrements Another is by default of the Veins which either are opened in which Cause we must use Agglutinatives as the Mushrum which is called the Wolfes Fart c. Burning and cutting the which are dangerous especially in those that are inveterate and of long continuance Or Eaten through and broke and this Evacuation Casts a man into a Dropsie and other Diseases II. The Suppression of the Hemerhoids is an interception of the blood endeavouring to get forth through the Veins of the Anus from whence they are raised up into a Tumor with pain The Signs are a tumor and bunchings out in the heads of the veins of the Anus sometimes hard like unto warts somtimes soft caled like to mulberries somtimes of a purple colour and like to grape stones the pricking paine is somtimes milder somtimes more greivous the Veins being distended whose Mouths hangs as it were out of their heads and the membrane which covers the orifices of the Veins stretcht and prest The CAUSE is Faeculent and thick blood desiring to get forth The CURE must be hastened both because it threatens a dropsie if the blood run back to the liver and because unless it be seasonably remedied by reason of the great attraction and flux of humors it causeth inflamation impostumation or a fistula It is performed 1. By mitigation of the pain which is asswaged by the crum of Barly bread steeped in womans milk adding the yolk of eggs and saffron 'T is taken away with laudanum dissolved in womens milke applied with honey but most of al with Butter Sugar or anima Saturâ—â— with flies of sheeps dung boyled in oyl of flax to the consumption of the creatures with the ashes of corke burnt and boyled with capons grease with the oyntment of road-flax concerning which see Hartman 2. By opening them universals premised by application of leeches or before that be done by an ointment of the Pulp of Coloqintida and oyl of sweet almonds by the juice of onions mixt with aloes applied rubbing first the part with a course cloth Sharp glisters do hurt the guts more then they provoke the hemorrhoids Unless they swel very much and be very painful they ought to be left to nature In the differences of the internal end external veins we must have a care The suppression of those is perceived by the squeezing of the Anus and thrusting up a probe Of these is obvious to the sight Title V. Of the affects of the Mesentery Chap. 1. Of the distemper and obstruction of the Mesentery THe affects of the mesentary are distemper obstruction inflamation impostumation and pain I. The distemper of the Mesentery for the most part is hot and dry which ariseth from the like matter which either is collected there of sent thither from some other part It is collected either in its veins and arteries and then because the breast hath the greatest consent with the hemorrhoidal artery because the trunke from whence the artery ariseth descending from the heart presently at its first rise doth propagate the intercostal branches there are continuall pains felt in the breast or also in its glandules by their laxness easily drinking up the matter The cure must not be neglected because 't is wont to fore-run a dry dropsy But it hath nothing singular except this that by those arteries not onely the first passages but also the whol body might be purged whether you give purging medicines or inject glysters and this perhaps is the cause that purging medicines layd to the navil do move to stool II. The obstruction of the mesentery is twofold one when the milky veins are obstructed which is knowen by this that a chylous and white flux of the belly doth molest and a consumption follows the matter necessary for the nourishment of the body being denyed That ariseth either from a thick crude clammy viscous chyle generated of the like meats or from a tumor of the glandules compressing them Another is when the mesaraick veins are stopt which is known by this that the matter restrained causeth a sence of distension and heaviness beatings of the arteries about the back are troublsome after taking of meat the evil grows more fierce and the stomach is comprest c. That ariseth either from vaporous and thick winds or from sharp humors and then the paine is more vehement sometimes while the evaporation lasteth the evil possesseth the whol cavity of the breast that somwhat is at hand like unto a suffocation somtimes there is a tumor raised about the mouth of the stomach and vaine belchings are produced those things being supprest that should be voided by the lower parts The cure is perfected 1. By openers and those indeedgentle That give strength to the liver and Stomach penetrating incisive drying lesning putrefaction and a little while astringent not by sweet things but bitter reduced into the forme of electuaries or pills but that liquor be drunk after them By tartarous things unless the saltness or sharpness of the humors do hinder by things that savour of Oxymel 2. By purgers unless windiness do hinder and those gentle not constant after the same manner given by little and little liquid 3. By vomiters but not violent Platerus his essence of broom is commended 4. By diuriticks that make thick humors fluid c. the liver is strengthened by Leonius his pills of the refuce of Iron By Mercatus his antidote of steele By Penotus his arcanum of vitriol sulphur and sallows c. Chap. 2. Of the inflammation and impostumations of the mesentery AN inflammation of the mesentery is a tumor of the same arising from humors poured forth with the nourishing blood into its
anointing of the belly with Oyle of Violets dil Chamomel a little butter in which a Snakes Skin ought first to be boyled 2. By mitigation of the pain by cataplasmes unctious fomentations baths of sweet water narcoticks also mixt with purgers c. II. The Pancreas doth chiefly labor of obstructions whence the stomach by reason of its neerness is affected pains and the sence of a weight are caused about the region of the stomach and pulsations in the back by the compression of the celiacal artery and also a difficulty of breathing molests them by the consent of the midriffe The cure is perfected by the same remedies as the obstructions of the spleen III. The Caule by twiggs from the spleen branch doth oftentimes receive feculent humors from the spleen in that part especially which is between the spleen the midrif and the stomach in its cavity in the left hypochondry under the diaphragma arising from the connexion of the stomach Caule colon and bowels and having no passage out Oftentimes from thence the belly in the left part towards the navel is raised up into a tumor oftentimes the belly being prest a sound and noyse is heard They cannot be emptyed unless they vanish by the continued drinking of bath or sharp waters If it putrefy or suffer an impostumation the cure is in vaine Titile VI. Of the affects of the Liver Chap. 1. Of the diseases of the Liver Article 1. Of the Distemper of the Liver THe diseases of the Liver are distemper obstruction inflamation a schirrus wounds and ulcers The distemper of the liver is a swarving of the same from its natural temperament by reason of external and internal causes The Signs are fetcht from the hurt of its action and others of which in the differences The Causes are either not natural and external or the neighbouring parts as the stomach heart and that either by contact or by communication of matter or the collection of matter in the vessels or parenchyma by reason of some fault of the liver either innate or acquired The Cure varies according to the nature of the differences Internal remedies because the liver is situate in a lower place ought to be the more efficacious 'T is performed by alteration and removing the matter offending As concerning the Differences the distemper is fourfold I. One is hot and that either simple or without matter which is known by this that there is a loathing of meat and most of al of flesh and nevertheless fastings doth hurt a vehement thirst troubles them the whole body is hot especially the palms of the hands and soles of the feet and either they are moist or dry the belly is somewhat dry by reason of the extraction of the moisture from the chyle It is cured by coolers amongst which the cheife are the roots of Dandelion and Strawberries the leaves of Succory Endive the seeds of Sorrel the greater and lesser cold seeds the wood of Saunders fruits of Cherries Currans Strawberries Of compounds syrupe of Corals Strawberries Sorrel Citrons Succory The Salt of Corralls Pouders Diatrion Santalon diarrhodon Abbatis Diamargartium Fridgidum Mynsichtus his mter vitriolate Amongst external things Saccarum Saturni a Cerote of Saunders oyle of green olives The mixture compounded of the Water Lillies henbane the flowers of white lillies plantane Red Roses each one ounce and an half Salt of Saturne Camphure dissolved in spirits of wine each one scruple Sal Prunella half a scruple adding a little of Tragacanth and applyed to the right hypochondry c. Or with matter which is known by this that a bitterness of the mouth a loathing of meat and a vehement thirst doth trouble them and a feaver either an intermitting tertian or a slow feaver or erratick doth vex them by which the body by degrees is dryed up That choler doth break forth by vomiting and stoole first of al thin and pale afterwards thick truly yellow and stinking It ariseth from choler either generated in it or sent from the bladder of gal laboring of obstruction or from some other part It is cured 1. By revulsion by opening a veine in the arme by scarifying or friction if the humors flow from some other part 2. By attraction by Succories cheifly if the humors be already flowed thither 3. By evacuation either by the stool where syrup of Roses of the Leaves of Rubarb and tamarinds take place or by urine where whey grass roots barley take place 4. By strengthening of the liver that it collect no more II. Another is cold and that either is simple and without matter which is known by this that there is a greater desire of meat no thirst a voiding of flegmatick crude and oftentimes of liquid matter there is generated a warry and crude blood 'T is hardly cured because 't is more repugnant to the nature and office of the liver and 't is cured by things that alter amongst which the cheife are The roots of burnet the true acorus The leaves of Wormwood Agrimony Centaury the less Betony Maidenhair Raisons Cloves Nutmeg Cinnamon Agallochus of compounds Mynsichtus his tincture of Cassia lignea treacle mithridate Mynsichtus his aromatical rowles Cratoes confection of Rhubarb The pouders of Diamargartium calidum Or with matter which is known from the foregoing of the like causes the white color of the face and whol body a soft habit of body flegmatick stools a heaviness in the right hypochondry The rise and cure do follow other distempers The essence of Mars is good the preparation of which see in Hartman III. Another is moist which is known by the soft pulse watry blood liquid excrement thick urine The cure is performed by dryers IV. Another is dry which possesses in a contrary manner neither is there any things singular concerning its cure for the most part it troubles in composition Article 2. Of the obstruction of the Liver The obstruction of the Liver is a narrowness of the vessels in the liver caused by a matter filling up their cavities and hindring the distribution of the nourishment The signs are heavy and obtuse pain in the right part of the hypochondries which after the taking of meat is increased especially if soon after meat some violent exercise be undertaken The excrements varying from their natural manner oftentimes more liquid and copious because the chyle is not received A change of the color especially in the face by reason that the sanguification and distribution are hurt c. But it is frequent that a veine from the porta dispersed through the substance of the liver in most fine branches is obliterated and it hath others no less smal from the Vena Cava through al which the nourishment ought to be produced and carried The Cause is the matter filling up the cavities of the vessels or also the very substance of the liver whether it be generated there its action being hurt either by a distemper or by some external error or whether it flow from elsewhere
washt with the nourishment and filth of humors and whereas the solid substance of the liver as being spermatical cannot be repaired t is incurable if it tend to induration which is known by this because after forty dayes the feaver and paine doe falsely vanish without any sensible evaccuation the tumor and hardness remains in its place with dejection of appetite and a dayly wasting of the body Of some hopes if there be ground it wil resolve which happens from the first moment of its invasion to about the fourteenth day and is known by the abating of the symptoms and colour of the urine It is performed by the same means with which other inflamations are cured Yet Observe 1. That the basilica or median of the right arm be presently opened the first or second day 2. That the repellers ought to be gentle least that the passages of the liver being too much straitned an obstruction be caused or a schirrous be produced by things too much cooling or the quit or breathing from the inflamation be cast back into the Liver 3. That the same ought to be gently astringent corrected with those things which are moderatly opening and abstersive 4. That things actually cold must not be applied unless there be an erisipelas and eminent heat 5. The impostumation breaking to the kidnies Goats whey must be dranke with the immulsion of the foure seeds 6. The substance of the liver being cleft and eaten into if the matter fal into the cavity of the belly we must proceed to burning and incision of the belly concerning which see authors For discussion 't is thought wil serve wel a Cerote made of oyle of Mercury one dram dulcedinis Saturni two drams and half oyl of Galbanum half an ounce red wax of cinnaber as much as is sufficient and mix with mistleto of juniper with the juice of Colts-foote or Galbanum and laid on The Differences of this inflamation are some I. One is Great in which al things are more vehement Another Smal and obscure in which the liver is beset with smal swellings and impostumations like to felons with no tumor or paine of the hypochondry there is a feaver but not much burning with thirst and loathing It is dissolved by a flux of blood of the same side issuing from the right nostril on the first seven dayes sometimes on the ninth eleventh very seldome on the fifteenth especially if the patient be under five and twenty years of age II. Another is in the gibbous part in difficulty of breathing which Paulus called suspirium irruptum a cough and heavy paine pressing the throate are more troublesom lying on the right side is more difficult as by which the part affected is prest the paine by touching and pressing growes sharper The urine is slow which if it be also with content like vetches it signifies a colliquation The Tumor is readily perceived Somtimes t is prominent and conspicuous to the Eyes 'T is dissolved by bleeding at the Nose if it be of the same side with good sweats and plenty of Urine Things that move Vrin are far more profitable than purging Medicines Another is in the Hollow Part in which nauseousness Thirst loathing of meat the Hickops Cholerick vomitings or stooles are more urgent lying down on the left side is greivous and painful The Tumor is not readily obvious to the touch 'T is dissolved by stooles Cholerick bloody by sweats and vomiting Gentle Clysters may be administred we must beware of Purgers given by the Mouth III. Another is from pure Blood which is called Exquisite and in which al things are more mild Another from mixt which is Spurious and that either Cholerick and then there is a burning Feaver fear of a Consumption perplexes vomiting of sincere Choler affects them and somtimes voiding it by stool which either inflicts a Diarrhy or a Dysentery Or Flegmatick which is seldome and in which we must add to Topick Medicines Mastick spikenard Wormwood and the Oyls made of them c. Article IV. Of a Shcirrus of the Liver A Schirrus of the Liver is a hard Tumor of the same without pain generated of a thick Humor impacted in the substance of the Bowel and hardned The SIGNS are a Tumor of the left Hypochondry which is discoverd by the touch if the Belly be slender and void of Fat and is easier observed the Patient standing upright or bowing to the right side than lying on his back but t is bounded by the Scituation and Figure of the Liver and lying on the left side with its bulk it lies on the Stomach and midriffe An obscure pain because the neighbouring parts endewed with sense are comprest by the Tumor of the Liver c. The CAUSE is explained in the definition but it doth not suddenly Cause a Tumor but by little and little for first it stuffs up the smal Veins of the Liver then being increased it redounds to the whol substance of the bowel afterwards being much more fully heaped up it distends the Liver into a vast bulk that it appeares swelled least of al being dryed and the thin part dissipated by force of the heat al the rest grows hard The CURE which is of little Hopes is orderd 1. By Lenitive preparatives and emptyers as was said in obstruction 2. By things Emollient and discussive with moderate astringents lest from those alone there may arise putrefaction and a Cancer from these alone the danger of a greater induration There are commended Labdanum with Indian Balsome and Wax the Plaister of Hemlock and mandrakes with Ammoniacum Fabricius Hildanus his Oyntment of Hemlock c. 3. By things that open obstructions among which excels Tartar Vitriolate with Raisons Cinnamon and the Leaves of Agrimony Barcoletus his Tartar Tartarized which moves by Urin c. As Concerning the Differences I. One is Beginning joynd with pain which is called Spurious and it yeelds to cure Another Confirmed Exquisite without pain which causeth a Dropsie and cannot be Cured II. One is from a Cholerick matter which is known by this that Causes heaping up a Cholerick juyce went before the signs of Choler abounding and a hot liver are present It follows a Jaundice and hath a slow Feaver its Companion and precipitates into a dropsie which is called Ascites Another is from a Flegmatick matter in which Causes heaping up a thick Juyce went before there are present the signes of a Liver cooled a Cachexy and universal Dropsie is Caused The disease lasts long without any discommodity and if it be turnd to a dropsie first of al it passes into a Cachexy then into a universal dropsie Another is from a Melancholly matter the signs of which also wil be present III. One is in the Gibbous part where some good is done by Topick means Another in the hollow part in which also internal remedies ought to be administred Hither belongs A Tumor of the Liver without a Schirrus which is known by this that it grows in a short
must be emptyed especially with things that purge water 3. To open obstructions is commended the cachectick pouder of steele prepared one part Cassia lignea three parts of the whitest sugar four the pouder of young geese turds 4. Sweats are happily moved with antimony diaphoretick 5. The Cachexy of virgins is driven away by the distilled water of Walnutts fresh cut into thin slices steeped in white wine twenty four hours sweetened with Canary sack and exposed some few days to the sun and taken three ounces weight using exercise after it Article 3. Of the dropsy in general The dropsy is considerd either in General or in special The dropsy considered in general is a tumor of the body or of part of it preternatural arising from a watrish and serous humor or a collection of wind The Signs of it are a swelling and puffing up of the body a heaviness difficulty of breathing an extensive pain in the right or left hypochondry a filthy color of the face betwixt green and whitish or declining to a yellowish or lead color little urine and deep dyed continuall thirst partly from the defect of natural and alimental moisture partly from the ascent of hot salt vapors drying up the mouth of the stomach partly by reason of the little aire drawn in whence the heart and lungs also boyl with thirst But concerning the tumor of the feet we must note 1. That they cheifly swel after excercise of the body and in the eveining because the waterish humor by its own weight tends downwards 2. In the night concoction being finisht the swelling bates by reason of the increase of the heat the heat of the bed helping somwhat too 3. They do often swel in those that are recovering either from acute diseases or of long continuance because the languishing heat cannot concoct so much as the patient receives and the crude and serous part which ariseth from thence flyes to the feet without any eminent danger if it be timely taken care of The Cause is the fault of nutrition proceeding from a cold distemper of the liver which is induced either by the extention of heat either immediatly by the six non natural things or mediately by diseases of the whol or of other parts Or by the dissolution or dissipation of it either from too much heat or from other causes The cure is not difficult if the dropsy be of late Difficult if after another disease it seize upon a body weakned If it be inveterate We must observe in it 1. That we begin with gentle things 2. Because the disease is chronical remedies must be used the longer time 3. Least nature be accustomed to them they must be varied 4. Somtimes for a while we must forbear least nature be opprest See the manner in the species Article 4. Of an Ascites The dropsie considered in Specy is either an Ascites or Tympany or Anasarca An Ascites is a distension of the belly from a watry serous and Salt Humor poured forth into its Capacity by default of the Liver Spleen and Kidneys with a Tumor of the â—eâ—t Thighs and somtimes of the God The SIGNS are a swelling of the Belly which begins from the lower parts as being most distant from the heart the fountaine of heat a slenderness of the upper parts the belly being struck a hoarse sound as from a bladder half ful the sick turning from side to side a â—â—ife like the Murmuring or waving of Water The Disease growing strong there follows a difficulty of breathing by reason of the abundance of water lying on the midriffe A Cough somtimes either from the compression of the midriffe or from the peircing of the Water into the breast from whence suffocation in a short time ensues the impression of the Fingers Leaves behind it a manifest mark in the flesh The CAUSE is a watry and serous Humor whence Dropsie people pisse little they that pisse much after great draufts are not taken with a Dropsie And some by abstinence from drink have been restored to health That humor is collected if you consider the place between the stomach and kidnyes through which otherwise naturally the serum is wont to be emptyed especially in the spleen veine the mesaraick and perhaps in the branches of the spleen artery and the roots of those veins about the hollow parts of the bowels gastrical and epiploical Whence after quartanes and long continued feavers whose cause is in the mesaraick veins a dropsy follows If the cause 't is collected from too much drink and moist meats by the accession of the fault of the bowells which either attract or contein the serum by which it comes to pass that it stays in the belly and afterwards is poured forth into its cavity But it is poured forth into the capacity of the belly or that space which is between the peritoneum the caule and the guts cheifly by the epiploick and gastro epiploick branches yet so as neither the caul which hath veins only from the vena porta and can easily receive the burthen of the mesentary and spleen nor the pancreas which in its middle hath a splenicke veine passing to the spleen with the left branch of the celiacal artery are free from fault The humor poured forth although it be cold yet because it contains many salt parts and borrows heat from the neighboring parts 't is hot also but by continuance of time it putrefies from whence is raised a corruption of the bowels a Feaver thirst whiles the vapors strike the mouth of the stomach The Cure is of better hopes if the patient be young and strong If a slave who is able to endure hunger thirst and other troubles if more moisture be voided by urine than is taken if the water which is in the veins flow to the belly or stool the bowels unhurt Of none almost if it come from an acute disease because the bowels the radical moisture being waisted do contract a cold and hectick distemper which cannot be corrected If the water break forth into the caul and that be corrupted If it happen to the splenetick after a longe dysentery because by the passing of the evil humor the symmetry of the innate heat is perisht in the guts and bowels If a cough come upon it because it shews that the watery moisture is so much increased that it penetrates into the breast and doth already possess the rough arteries If impostumations or spots break forth in the thighs if being eased by remedies 't is wholly renewed again because it signifies the bowels are corrupt and possest either with a schirrus or consumption and hectick distemper If it arise from a colliquation because al the strength is dissolved and the body languisheth 'T is perfected 1. By the emptying of the water poured into the belly premising a preparation of thick humors if they intervene But it is emptyed 1. By the Stool by medicines that purge water the gentler as mechoacan Jallop which may be given to
one scruple and an half the Juice of Flowerdeluce clarified which may be given to three drams with syrup of endive six drams Parsly water half an ounce and the pouder of diarrhodon Abbatis one scruple With peach flowers dryed and boyled in wine The stronger as gambugia which is given from six grains to fifteen see Reudenius concerning it Rulandus his extract of esula trochiskes of Alhandal or the same authors Spiritus vite aureus The extract of elaterium most commended by Massaria from one grain to three grains The magistral or Crystal Lunae of Tentzelius given chiefly at the Wain of the Moon from four grains to five Mercurius vitae fixt by longe digestion Crocus Metallorum Absinthiacus of Mynsichtus the same authors Tartarus Emeticus c. All which must be given on even dayes not too often nor the bowels too much corrupted after the use of them we must see whether they bear it wel and the bowels must alwaies be strengthened Concerning a Paracenthesis or tapping see Authors 2. By diureticks which ought to follow purgers of water amongst which beare the palme the pouder of earth worms given one dram weightwth the decoction of asparagus or fennel The salt of ash salinated as Billichius delivers Wine twice or thrice strained through the ashes of bean straw burnt six handfuls the tops of broome Juniper each two handfulls and a halfe woodbine one handful and a half and given six ounces weight 3. By swaeters and dryers as are the Root of swallow wort steept and boyled in Wine Antimony Diaphoretick the decoction of Sassafras wood Treacle in wine the quantity of a smal Walnut with a few drops of Oyl of Sulphur Lapis Serpentis concerning which see Joel Outwardly Mynsichtus his Plaister de Cineribus 2. By strengthning of the parts that the Water be not collected again here are good the Trochiskes of Wormwood Paracelsus his Diacubebae c. 3. by diet which see in Anthors The Differences are taken from the parts by whose default the serum is collected One is by default of the Kidneys that do not attract the serum either because they are Exulcerated and then some matter appears in the urin the piss is much less than in other Causes or because the Vreters are broken and then it ariseth suddainly That comes to pass for the most part in expelling the stone Another is by default of the Spleen which when as it is as it were spungy it ought to draw the water from the stomach by the vas breve that office being delegated to it by Nature which may be carried from hence by the splenick Artery into the Coeliacal by and by from the trunk of the Aorta by the emulgent Arteries to the veins It doth that either too greedily by reason of an inflamation risen in the Veins which is known by a pertinatious flux of the belly which doth neither take away the swelling of the belly nor the pain by reason of a Hectical distemper and either from the weakness of the veins not attracting the nourishment or from the corruption of the same and continual voiding of Cholerick Excrements it afflicts with a heat in the jejunum gut and mesentery Or it neglects it altogether either by reason of the obstruction of the passages tending to it caused by thick humors Or by reason of the dissipation of heat from a schirrous too much emptying the use of hot things the distemper of the neighbouring parts acute Diseases Or by reason of the suffocation of heat by the too much use of cold things from the suppression of the Courses from superfluous Evacuations c. Another is by default of the Liver either for the same causes not attracting the serum or retaining it or by reason of the same inflamation too much attracting and then there is a desire of coughing the Excrements are few and dry by reason the serous Humor is sent into the belly and the rest is burnt up by the heat of the Liver Article V. Of a Tympany and Anasarca A Tympany is a distension of the belly from much wind raised up either by a weak or burning heat contained within its Capacity It is called also a dry dropsie although for the most part 't is joyned with Water The SIGNS are these the Skin appears retcht like the skin of a drum and struck upon gives the sound of a Drum the Navel hangs forth much The puffing up of the belly is greater but the heaviness less Compressing of it doth not leave behinde it so conspicuous a mark but the hollow print is presently filled up belching and Farts often break out noise and rumblings Obmurmurate It must be distinguished from the distension of the breast after wounds which doth possess the breast back Loins Cod Arms Neck nay somtimes the whol habit It proceeds from hence that the Air which ought to pass streit through the mouth to the Lungs and from the Lungs again to be breathed forth through the mouth a way being open between two Muscles or the Muscles and the skin 't is blown from the wound as from a pair of bellows into the space between the skin muscles and hence furthermore it penetrates into the neighbouring parts The CAUSE is wind which if you consider its rise springeth either from a weak heat or from too much and torrefying which resolves into Vapors that which is subtile being violently stirred as is seen in black choler lying under the stomach If the place 't is neither in the stomach because it would be cast forth by belching nor in the Guts because it would be voided by stool but for the most part 't is generated between the coates of the mesentery and Guts For in the dry Dropsie the torments afflict about the Navel greifes and pains of the Loyns but the mesentery forward is united to the smal Guts backward to the vertebres of the Loins from which it springs from whence is this distention yet it is found also in the Cavity of the Guts and it insinuates it self thither through the Orifices of the Mesaraick Veins The CURE requires I. The bringing forth of the matter producing the Wind where takes place Fardinandus his Antipneumatical wine concerning which in the History 38. The Coagulated Spirit of Salt with Wormwood water and spirit of Elder 2. The Discussion of the wind outwardly by a great Cupping-Glass applied to the Belly by frictions with Garlick bruised and boyled in generous wine by a fomentation of a Boyes Vrin and Lapis Prunellae concerning which see Hartman Inwardly by the Decoction of Ebony wood the spirit of Guajcum the Arcanum of Cummin and Carrawais the liquor of the flowers of Mullein c. 3. The correcting of the hot distemper of the Bowels if there be any the strengthning if it be weak II. An Anasarca or Hyposarkidion and Leucophlegmaty is an equal increase of the bulk of the Body preternaturally throughout â—â—e whol body arising from default of the nourishment The SIGNS
are an increase of the Corporal bulk greater than in a Cachexy equal through the whol body so that the feet and Leggs swel in the begining a softness of the body a Laxness Paleness and weakness upon the least labor a continual Feaver slow with a puls smal oft and unequal the Urine white thin crude c. The CAUSE is the fault of the nourishment which by reason of the immoderate coldness of the Liver and Veins of which we spake in distempers is Flegmatick and crude nay the body is spred over with a clammy and congealed water and though the nourishment doth both concrete and adhere to the part that is to be nourshed yet 't is not assimilated The CURE is Easter than in others because a Flegmatick Humor comes neerer to the Nature of blood than a serous besides a strong diarrhy comming at the beginning while the strength is firme the Disease is Cured 'T is Performed 1. By emptying the watry matter dispersed throughout the body both by things that Evacuate by the lower Parts amongst which is commended the extract or Salt of Hedg Hyssop mixt with Rhubarb And by vomiters which see else where and by bleeding if it arise from a Plethorick Cause or retaining the blood least by the plenty of the cold Humor the heat be overwhelmed which must be done at the beginning And by sweaters as the Decoction of swallow wort used especially in a Laconick Bath before you enter into it some of Weckerus his water is wel administred concerning which see Hartman 2. By strengthning of the Bowels the Liver especially and stomach of which in their places Fardinandus commends the covering of the Patient in a heap of Wheat for to dry up the matter Article VI. Of the Jaundice The Jaundice is either Yellow or Black of which shal be spoken in the Symptomes of the Spleen The Yellow Jaundice is an effusion of a Yellow or greenish Humor into the habit of the Body proceeding from its Causes 'T is called also from the Name of a smal bird Galgulus from the variety of colors in the Rain-bow Arquatus and because 't is tenderly handled at Court Regius or because 't is beleeved to be Cured with Honey and wine a Princely drink The SIGNS of it are a yellowness of the whol body a Citron or pale green which is observed in the white of the Eye and at its inner Angle where the great Veins are A distension of the Veins under the Tongue a pain of the right Hypochondry or a hardness too Bitterness of the spittle with Cholerick Vomiting the Hickops and pain in the Head The CAUSE is a Humor of the same color which is poured forth into the habit of the Body for the Causes to be mentioned in the Differences The CURE varies according of the Nature of the Differences Yet it respects two things 1. The Cause which must be removed 2. The Symptomes which must be taken away after universals have been premised For the Face and Eyes is commended the fume from hot Vineger in which Rosemary hath been boyled The Specisicks are the extract of Columbine and Celandine which with a little Bezoar is given to the rich An Emulsion of Columbine Seeds with the distilled Water of the same for the poorer sort the pouder of Earth worms three or four live Lice in a poched Eg if we beleeve Zacutus which is a most sordid medicine A live Moth laid on the Navel til it die A live Spider in a Nut shel hung about the Neck placed to the pit of the heart til it die Amongst Magick things are reckoned the Patients bepissing of Nettles Cloths dipped in his Urin and exposed to the Air and many other things concerning which see Petraeus The Differences are taken from the Causes One is from those things that generate plenty of choler which are either External as sweet things hot meats and drinks Poysons especially as the Gal of a Leopard the biting of Vipers and venenate things and then we must act with things Alexipharmacal peculiarly opposite to the Nature of the Poyson in which also we must have regard to the manifest qualities Or Internal as are 1. A hot and dry distemper of the Liver and then the Urine is vehemently colord and thick the Excrements of the Belly are dyed of a Saffron color the Feet and hands are hot 2. An Inflamation and Impostumation of the same of which formerly Another is from those things which do hinder the puresying of the blood and the separation and Exclusion of Choler as are 1. The compression of the bladder of Gal by a Schirrus of the Liver or some other Tumor which see above 2. The Obstruction of the same from thick flegm plenty of Choler stones and other Causes which is either in the passage reaching to the Liver by which it is attracted and then the Excrements are dyed or in that tending to the Duodenum by which 't is cast forth and then the Excrements are white or it comes to pass by default of the Liver and then the right Hypochondry is distended if it become hard it foretels a Dropsie or by default of the bladder it self and then it invades suddainly the belly is slow to stool the Excrements because they are not dyed look white It is cured 1. With things that open obstructions amongst which prevails Dodder of Vetches the Decoction of the Strawberry Plant with horehound and Raysons the Juyce of Nettle Roots bruised in wine with Saffron Young Geese Dung gathered in the Spring dryed and given one dram weight Cremor Tartar diluted with steeled Wine spirit of Tartar c. 2. With Purgers given by course with openers amongst which Rhubarb and Hiera Picra are the best Another is from those things which do suddenly expel choler from the inward parts to the Circumference of the Body which cheifly comes to pass in acute Feavers in which either it is cast forth critically and then there went before Signs of coction and the Disease is Cured Or Symptomatically by reason of its plenty and Acrimony and then it happens before the seaventh day If it be without a coldness 't is thought to be either from a weakness of Nature or from an Inflamation if with a coldness the Feaverish matter is cast forth from the Bowels and veins to the Skin In the Cure we must have respect both to the Feaver and the Liver Article VII Of an Atrophy An Atrophy is a drying and wasting of the whol body arising from the disappointment of its nourishment The Subject is the whol body especially in relation to the soft Parts the Fat and Flesh the harder Parts indeed may be dryed but they cannot be so diminisht that from thence the whol body should decrease There is no need of SIGNS whenas the affect is apparent to the Eye The CAUSE is the disappointing of nourishment which proceeds either by default of the nourishment when that either failes that it is not taken not attracted not
it It respects the same things as a schirrus of the liver Amongst things that disgest in wardly are commended the root of ferne the pouder of dead nettle in meats the wood of tamariske boyled in steel water to a third part The composition of ferne rootes one ounce dodder of vetches two drams boyled in eight ounces of strong wine to the consumption of a third part Outwarly amongst emollient things Fabricius unguent is of force compounded of Gum ammoniacum one ounce oyle of sweet almonds white lillies bens grease each two ounces the juice of hemlock foure ounces vinegar of squils two ounces The Differences are the same as of a schirrus of the liver I. One is new come which afflicts with pain extending it self to the very throat Another inveterate which is void of al paine neither doth it easily kil a man unless the liver be drawne into consent II. One affects the spleen only according to its substance which also is bounded with the figure of the spleen though this do sometimes according to its longitude appear as round sometimes according to its latitude somtimes swels according to al its dimentions Another is poured forth into other neighbouring parts also that for the most part it comprehends al the left region of the belly Article III. Of an Vlcer and wound of the spleen Concerning an Vlcer there is nothing to be observed but that it followes inflamations and tumors and casts forth its matter somtimes by urine vomiting or stool It must be purged cleansed headed A wound is either in its superficies which is less deadly or in its substance which by reason of the effusion of blood is deadly wheresoever it is it pours forth black blood for the most part also it affects the stomach causeth thirst and paine to the throat the matter somtimes is voided by the urine carried through the caeliacal artery to the trunk of the great artery and hence to the emulgents 'T is cured also with vulnerary potions Chap. 2. Of the Symptomes of the spleen Article I. Of the paine of the spleen and black Jaundice The Symptomes of the spleen are a pain of the Spleen The black Jaundice the hypochondriacal affection and the scurvy I. The pain of the Spleen ariseth from the solution of its continuity and distension of its membrane This is caused both from things external as blows fals c. and internal viz. â—â—â—ammation inflation tumors ulcers c. But it must diligently be distinguished both from those pains which are felt in the left side especially after meat or riding which proceed either from wind or from serous humors which flowing into the spaces of the peritoneum that sticks close to the coates in that place do distend them from the muscles and from the paine of the muscles which is felt if they be prest a little The Cure requires no narcoticks for when as it is cloathed only with a thin coate the paine is not exquisite II The black Jaundice is a change of the skin of the whol body into black 'T is known by the color it self It ariseth from the same causes as the yellow Jaundice doth except that there the liver here the spleen is in fault But t is harder to cure because if it be by default of the bladder of gal there is a greater corruption of choler if by default of the spleen the humor is more stubborn and there is a fear of a dropsy Medicines of steele are commodious in it and also a dry bath after which the body must be clensed with an emulsion of hemp seed the face with beane flower water mixt with wine Article 2. Of the Hypochondriacal affection The Hypochondriacal affection is a filth of vitious humors collected in the branches of the vena porta caeliacal Mesenterical arteries by reason of the hurt of the spleens concoction without putrefaction and by sending forth of vapors causing many Symptoms 'T is called Hypochondriacal by reason of the place of both Hypochondries by which is understood that part of the body which under the bastard ribbs reaches as far as the loyns on both sides and comprehends with the muscles the bowells themselves 'T is called also the windy passion by Diocles and Aetius for the familiarity of winds conteined in the left hypochondry and it obtains the name of Melancholly when as the brain is affected by consent As was said before The Signs are fetcht from the symptoms of the natural vital and animal faculties there is 1. A crudity of the Stomach by reason that it is ill nourisht by the vena porta from the Spleen which is followed with a continual spitting Flegme filling the mouth with moisture vomiting up of the thicker parts of the humor either generated in the stomach or sent from the spleen and somtimes so sowr that the teeth are on edg there goes before it an ebullition of the same in the stomach wind distending the neighbouring parts that somtimes the patient falls into swouning fitts a discussion of the thinner parts of the humor by insensible perspiration somtimes with a Feaverish shaking which a certaine heat Follows presently vanishing in sweat 2. Pains in the stomach which reach even to the back returne upon taking of meat when 't is concocted or cast forth they cease they draw the kidneys into consent by communion of membranes 3. Costiveness of body both by reason of the dryness of the vessels in both sides and because the meat is changed into a flegmatick viscous humor and so 't is not moved forward by the gutts and pertinaciously adhering to them is the cause of astringency 4. An inflammatory heat as it were of the Hypochondry which by motion meat drink hot things grows more fierce which is attended somtimes with a redness of the cheeks and whole face by reason of vapors ascending a diary Feaver vanishing in sweat by reason of the dispersing of them through the whol body by large drinking 5. A Vrine sometimes thin by reason of the passages obstructed and the retention of wind from whence the fit begins sometimes troubled and thick by the admistion of humors with a sediment somtimes of red sand in which the tartarous parts of the blood are coagulated 6. A Flatulency and waving especially in the left hypochondry the wind being imprisoned in the cavity under the midriffe arising from the connexion of the stomach caule cholick gut and bowels 7. Anxiety both because the meat half concocted is resolved into wind and causeth a straitness and because being carried to the neghbouring vessels affected with a hot distemper it boyls as it were with that Fiery heat and distends the hypochondries and so causeth a straitness in those parts which have nerves from the sixth conjugation 8. A Palpitation of the heart either by consent of the stomach or by the contention of the part it self against the malignity of the vapors which is more frequent with some at the increase of the Moon by reason of
fits which affects without a noise hissing and cough somtimes it hath joyned with it a darkness cast over the Eyes faintings and the Patients despairing of health It ariseth from Vapors or Humors Sticking in the Cavity of the Caul and compressing the Midriff which being stirred after vehement exercise make the Symptome more greivous 'T is Cured with Thoracical and Antiscorbutical means to which add somwhat of Eichstadius his Confection of Alchermes and Saffron II. An Itching Tumor and Putrefaction of the Gums for whenas their flesh is soft and loose 't is easily corroded by the thinner and sharper part of the Humor ascending thither It cheifly troubles Children and affects with a blackness of the Teeth Putrefaction and loosness their holes being possest with the evil Humor yet it suddainly vanishes by reason of the recourse of the Humor The Cure of it is helped by appropiate Waters if the mouth be washt with them By the Decoction of astringent plants in austere Wine adding Spirits of Vitriol and Alum which are most effectual III. Plenty of spots in the Thighs which for the most part trouble those of ful Age first they are ruddy and like flea-bitings by and by they become purple and somwhat livid at last they decline to a black color When there is many Somtimes they invade the breast the Neck Arms and Face somtimes they vanish suddainly somtimes last many yeares somtimes they turne to scales and by how much the more livid they are by so much the more dangerous They arise from the descending part of the Humor thrust by Nature to the more ignoble Parts They may be Cured by things discussive and mollefying as Baths of Juniper berries cresses Scurvy-grass Chamemel c. if they be ulcerous they are hardly cured whenas the whol thigh is gangrend by them IV. A paine of the thighs which is distensive dul breaking the bones lying deep grows Feircer towards night by reason of the motion of the melancholy humor about that time It ariseth from serous humors somtimes falling down from the head and cleaveing to the membranes sometimes poured out of the veins from the seat of the filth by the crural branches of the vena cava and insinuated into the muscles of the thighs 'T is mitigated with a cataplasme of coagulated milk with flowers of chamemel water cresses and Juniper beries boyled in milk 'T is exasperated by giving of fat things before the spots break out V. A pain of the belly which somtimes doth so goad that the sick fal into a rupture of the peritoneum It troubles by intervalls with a pulse and urine scorbutical Somtimes it lasts to the fortieth day neither is it circumscribed with the course of the collick gut And truly with a depression of the belly that it is pulled inward with the navel and this seems as if it were tyed to the loins with a distension felt according to its longitude a puiling of the right gut upwards that nothing at al is voided It ariseth from an effusion of that matter through the mesaraick veins which do not open into the gutts between the two coats of the guts Hence is a distension convulsion pulling drawing of the neghbouring parts into consent a pregression of Feavers whose Fewel is in the vessels of the bowels It is cured by removing the cause by mitigating it by laxatives and glysters by which excretion ought to be provoked The elixir proprietatis is very profitable VI. A pain of the feet about the ankles and soles which is a fore-runner of the spots and by reason of the thinness of the matter it doth as it were penetrate the parts 'T is cured by a medicine made of the flowers of elder two handfuls boyled in wine adding two drams of soap and applyed on a cloath to the part in pain VII Pains of the Hypochondries unbounded because the wind hath no passage out Nephritical either because the Matter descends by the emulgent vessels to the kidneys or because being heaped up and by the accession of an external cause thrust to the greater vessels it flows down to the kidneys Of the Loyns which sometimes arise from vitious blood conteined there somtimes by way of a catarrh falling from the head by the veins upon the spinal marrow hence the paines begin from the shoulders and by degrees creep to the Loyns VIII Paines of the head which trouble about the evening and are joined with a certain Feaverish heat which vanish away in the morning sweats they afflict those principally who contract this evil from the suppression of the hemrods They arise from vapors ascending thither They require that brooklime be given in a greater dose the quantity of hot things be diminisht the hypochondries be anoynted with things opening IX A Gout concerning which note that it is wandering especially if cold topick medicines be applyed that for the most part 't is joyned with a light palsey with a paine ceasing and returning That it ariseth from serous humors thin and apt for motion That 't is wonderfully to be observed that if a live worme be layed upon the place that is fullest of paine it skipps winds and bowes it selfe about wasts away and dyes Amongst sweaters that is appropriate which is prepared of the roots of Devils bit one ounce round birthwort three drams the herbs of Sage betony each one handful Southernwood Rue Perewinkle Savine each one pugil c. See Horstus concerning the wandring scorbutical gout Tom. 1. of his observations X. A Palsey which somtimes involves the the thighs somtimes al one side It differs from the palsey of the ancients because some motion remains 't is interrupted it assayles by little and little before it fixes it follows no such fixt stupidity paines of the colon and belly tumors breaking forth in any part and easily vanishing again It ariseth from the scorbutical matter carried to the spinal marrow by that branch which is extended from the Aorta not far from the mesenterical branch and creeps to the back bone and its vertebraes 'T is Cured if the tendons be not rigid the body being once or twice purged by the use of brooklime and scurvy-grass if they be hardned and rigid by emollient cataplasmes premising fomentations of water in which the leaves of Sage Betony Rosemary with elder and melilot Flowers have been boyled XI A Convulsion and contraction which somtimes grows so strong that the sick are not able to extend any joint and they are drawn as it were round 'T is joined somtimes with a rigidity of the turning joint of the mouth on which the lower jawe under the place of hearing is reversed so that the mouth shuts close that it cannot rightly be opened It ariseth from the rigidness of the tendons when in that tartarous but serous humor this being discust that is left and dryed 'T is cured by things mollefying and discussive XII A deepe sleep which somtimes afflicts with a slow continual Feaver somtimes with an intermitting it comes
with a fit and that going away it ceaseth 'T is cured with water-cresses which grows in clear waters XIII A Palpitation of the heart and swouning Concerning which we must know that it serves for the most part when the patients rise in their bed the humors being stirred somtimes 't is so great that they dye suddainly 'T is a certain sign of the scurvy if it afflict in a disease that is smal to the sense It ought to be opposed by medicines given six or eight times a day with things antiscorbutical XIV Vomiting which is rather a vaine endeavouring 1. To vomit that hath no heaviness or pain of the stomach going before it is not taken away by medicines that strengthen the stomach 't is rather quieted with milky things that do lenify the humors XV. Too much spitting which ariseth partly from vapors raised up to the mouth from the bordering places of the stomach partly from meats corrupted in the stomach and carried up to the mouth along the course of the membrane lining the gullet partly from a serous humor poured forth from the spleen into the stomach through the Vas breve 'T is prevented by avoiding of sharp and hot medicines which diffuse the matter XVI A Flux of the belly both diurnal and nocturnal which brings forth compacted excrements but exceeding the meat in quantity sometimes of a green somtimes of an ash color It ariseth either because the nourishment not attracted by the weakness of the liver is corrupted or because the serous humor flows back from the spleen to the gutts or because the serum which might have been dissipated thorough the habit of the body in forme of a vapor by cold condensing the pores is driven back to the guts or the vessels especially in the morning time when the body is open with heat being bound up by cold 't is thrust back towards the greater vessels and carries with it to the guts whatsoever it findes in the way and then in the cure things astringent are most hurtful A dry dyet must be used wormwood wine diluted with the decoction of succory is good or because whiles the serous humor grows hot with the Feaverish heat and cannot be exhaled it is turned thither and then syrup of Roses solutive and things of succory are good 'T is somtimes bloody but without paine and with other signs of the scurvy It ariseth from Feculent blood abounding in the veins and poured forth into the guts through the ends of them XVII Feavers which differ far from other Feavers For the sence of cold extends it selfe to six or seaven hours the pulse is slow weak unequal in the declination great and hard in the vigour the urine is as we have said formerly Somtimes they trouble thrice somtimes four times a day most commonly they are mixt of the type of a continual and tertian The continual if they be exasperated by purging medicines or hot potions do kil XVIII A dropsy which afflicts both with a harder manifest tumor and distension of the spleen liver or belly and with a greater difficulty of breathing than otherwise which after the use of purgers doth most of al torment and because it proceeds from thick vapors they being discust it ceaseth XIX An Erysipelas Which somtimes molests every week somtimes every month it proceeds from ichorus humors corrupted after a peculiarmanner In the cure the water of elder flowers with Carduus water is good XX. Vlcers which are dry and yeild no matter or filth they trouble those most that are of a cholerick temperament They possess not only the thighs but other parts also somtimes they become so gangrenous so that they feel not iron inflicted on them they ought to be cured without any biting or pain brooklime alone boyled in drink layd on them twice a day doth much good and also the ointment of diapompholygos in great putrefaction some Mercury precipitate or spirits of vitriol must be mixed with it XXI Hard bunchings in the whol body great tumors which stick in the groin the glandulous parts of the body like unto muscles they are without paine while the patients are quiet with paine when they walk If they break forth suddainly and by and by vanish they presage a palsey A cataplasme of the root of the greater comfry of bryony wormwood the crum of white bread boyled in milk is commended in the cure XXII An Atrophy which proceeds at first because the faculty is disapointed by reason of vitious nourishment in process it ariseth by reason of a vitious disposition imprinted on the parts by the defluxion of humors For the cure is commended goats milk if the goat be nourisht with things antiscorbutical I omit the rest See concerning this disease Sennartus Horstius and others Title 8. Of the affects of the Kidneys Chap. 1. Of the diseases of the kidneys Article 1. Of the Straitness of the Ridneys THe diseases of the kidneys are straitness inflamation the stone wounds and ulcers The straitness is an obstruction or compression of the vessels in the kidneys induced by its causes The Signs of it are the retention or paucity of urine and from thence a sence of distension and heviness about the loines in one or both sides c. The Causes shal be explained in the differences the continent is put in the definition The Cure varies according to the nature of the differences The differences are taken from the causes inferring the obstruction or compression I. One is from a tumor Phlegmon Scirrus compressing them too much dryness whiles the substance is wrinkled and contracted which wil discover themselves by their signes although the last is very hardly known II. Another from humors viscous thick clammy which is known by their redundance the absence of pain and a Feaver 'T is cured 1. By emptying by stool or by vomit 2. By things detersive incisive and diuretick The waters of parsly rest-barrow with Fernelius his syrup of radish are commended The spirits of salt tartar vitriolate with a Julep of violets c. III. Another is from clotted blood which hath fallen out of its vessels and concreted there 'T is known from hence that pissing of blood went before and causes enducing it as blows falls c. 'T is dissolved with chervil water dyers madder with the seed of cresses spermaceti and mummy made into a pouder IV. Another is from matter which is generated there or flows from some other part It is known by the signs of an ulcer or impostumation in the kidnies and the urine somtimes purulent 'T is cured by abstersives V. Another from the stone of which shal be treated hereafter in the meane while observe that gravil doth sometimes do it which either is produced in the proper substance of the kidnies which is known from hence that 't is hard and red and thence rapt with the violence of the urine running is carried into its hollow part afterwards is thrust down to the bladder and when the
them and make Water by drops with exceeding pain and that while the Stone is gathering together is thin and clear of somwhat whitish color but being concrete 't is wont to settle like unto Oyl with a gravelly sediment white like to scabs if the Stone be brittle The CAUSE and CURE must be fetcht from the Chapter of the stone of the Kidneys If it cannot be broken and expeled it must be cut out concerning which see Chirurgions For breaking of it serves the Composition of Salt of white Tartar one ounce and Parsty Water one pound mixt together and streined through streining paper dyed of a yellow color with Orange Pils also the Pouder of Palmer Worms concerning which consult with the peculiar treatise of Laurembergius And also the blood of a Goate nourisht with Plants that break the stone distilled taking at meat those stuffings which ought to be made of its Kidneys and other Bowels and Guts For mitigation of the Pain a Bath is good which must be followed with an unction of the Cod Pubis and perinaeum with the Compound Oyl made of Oyl of Scorpions bitter Almonds the Fat of a Cony and Hen of each one ounce and an half and the Juyce of Pellitory of the Wal two drams There meet us some Differences of the stone I. One is smal and light in which a vagous and wandering tickling afflicts about the pubes and perinaeum the which is easier broken Another a little bigger in which there is felt the weight of some heavy thing lying upon it so that going through uneven places is difficult and painful and dancing much more diffiult they piss often and the Urin can hardly be kept in which is white thick turbid with a purulent Sediment or like to the snivel of the Nose when they should piss the stone driven in the way the flux of Urin is intercepted there is a most sharp pain towards the latter end of pissing when the stone stirred up by the Course of the Urin as if it were comming forth doth more violently compress the Sphincter muscle at other times it affects the whol passage of the Privity somtimes the Nut. Striving to piss is accompanied with a desire to go to stool because the greatness of the stone from the perinaeum stimulates the right Gut as wel as the Neck of the Bladder This can hardly be Cured any other way than by cutting II. One is concrete which sends no gravel from it in the Urin. Another not concrete in which the Urin doth cast off some gravel and that either white or red which must be distinguished from that of the Kidneys by other signs of the stone of the Bladder III. One is which grows in the bladder it self to which that said before accords Another which descends from the Kidneys through the Vreters into it and then signs of the stone of the Kidneys went before there was a pain reacht from the Kidneys to the bladder according to the length of the Ureters the Nephritical pain is either ceased or troubles little This some do beleeve may be broke by the Indian Plant called by Manardus Payco and by other things IV. One is which doth not cleave to the Bladder and therefore may be taken forth more safely by cutting Another which cleaves to the top of the bladder and hangs down as it were from it and then al the symptomes reckoned formerly are more obscure there have been those seen who have carried it without any paine nay it can by no meanes almost be removed without injury to the patient Of which see Tulpius observat l. 2. c. 5. Article 2. Of an inflamation scab ulcer and fistula of the bladder An inflamation of the bladder doth not so much possess the substance of the bladder which is thin and bloudless as the sphincter muscle of the neck of it The signes of it are a bitter paine in the perinaeum with redness and heat a suppression of the urine with a great endeavoring to piss costiveness of the body because the right gut is streitned by the greatness of the inflamation a distension of the pubes and pecten to the navel by reason of the abundance of water The cause is the same as of other inflamations The cure is difficult because the affect is deadly for the most part about the seventh day especially a Feaver comming and the stoppage of urine and stools yet if it be gentler and the inflamation being changed into matter the impostumation break inwardly and is emptied by the urine there is better hopes and also an erysipelas arising about the superficies of the skin and plenty of water being made sometimes t is suddainly dissolved 'T is ordered after the manner of other inflamations Repellers must not be applyed long because the bladder is membranous and is easily bound up the urine supprest and the nerves hurt II. A Scab of the bladder is known by an itching in the pecten by the strong smel of the urine by a branny sediment residing at the bottom It ariseth from sharp and salt humors corroding the internal superficies of it 'T is cured in old folks hardly the humors are partly to be emptyed partly qualifyed by the four cold seeds violet flowers strawberries either taken inwardly or outwardly injected through the urethra III. There is no need to say what an ulcer of the bladder is it appears from the former The signs of it are scales and matter which flow forth only with the urine and sink in it and so 't is distinguisht from an exulceration of the urinary passage in which the matter and filth either goes before the urine or appeares presently at first comming forth or also flows forth without urine There is a continiual torment about the bladder pubes and perenaeum the urine also is thick and somtimes mixt with matter somtimes with blood c. The causes are divers of which in the differences The cure is of little hopes both because the bladder is membranous and because the urine which is biting by its continual running down hinders its consolidation 'T is ordered after the manner of other ulcers The differences are taken cheifly from the causes I. One is from cantharides and then if it be lately we must give milk plentifully by and by consolidate If it be inveterate it must be cured as other ulcers Another is from sharp urine which the use of pure wine and hot meats hath caused and then we must act with cooling diureticks Another from sharp or salt humors as it were knawing its internal superficies and then 1. We must empty with cassia and turpentine 2. We must temper them with water lillies lettice endive c. Another from the stone of which formerly II. One is in the bottom in which the pain is felt about the pubes Another by the urinary passage in which at the time of pissing the pain is felt more and especially when they begin and when they make an end to piss IV. The
juyces in the veins or in the substance of the body are changed into a serous matter which attracted by the kidnies slides through them and descends to the bladder Article III. Of an Ischury An Ischury is a suppression of the Vrine by reason of the disappointment of the expulsive faculty so that none of it can come forth There is no need of Signs in an affect so manifest The Cause is the disappointment of the expulsive faculty the causes of which we shal explaine in the differences The Cure must be hastened least it regurgitace into the whole body oppresse the liver infect the blood and cause a danger of suffocation Oftentimes the humors putrefie feavers are kindled and unless they pisse before the seaventh day they dye There is no cure if it arise by reason of the deadly concourse of fits if it come from a wound of the back bone or luxation of its vertebrae If the hickops or a tenesmus come upon it It respects 1. The symptom it self that the urine be provoked here meet us a pressing of the belly with holding of the breath putting up of a catheter unless an inflamation doe hinder or of a wax candle dipt in oyl of sweet almonds suppositories and sharp glysters by reason of the communion of the right gut with the bladder fomentations of the pubes and perinaeum with the decoction of pellitory of the wal melilot chamemel Cataplasms of horse raddish bruised and fryed in butter The juice of a cray fish baked and strained through hair given in wine The salt of beane cods The decocti-of buck-thorn in wine of gillyflowers with their root dryed in the shade with wine of quinces 2. The Causes of the Symptom of which in the differences An Ischury is divided twofould One from Diseases of the bladder which is known by this that a continnual desire to pisse doth oppress them the pubes is distended and pained by the collection of abundance of urine by putting in a catheter plenty of urine flowes forth with ease Those diseases are 1. A stupidity by reason of which it feels not its spur either by reason of a palsey and obstruction of the nerve or the aversion of the spirits and then although the bladder be ful there is no desire to pisse nor no paine felt 2. A cold distemper contracted from cooling causes and then such causes went before diureticks must not be used unless the body be purged first 3. A streightness either by reason of a tumor of the muscle compassing the neck or by Reason of a stone and other things formerly alledged if from this 't is somtimes cured with an emulsion of the seeds of purple violets made with speedwel water 4. Too great an extention then the urine hath been retained too long against the wil we must act with fomentations of pellitory of the wal with oyl of sweet almonds Another is from the streightness of the urinary passage which is known from hence that the urine is not voided by compressing the bladder and that a catheter is difficultly put up See the Cure in its chapter II. One is exquisite of which we treated even now Another Spurious which is knowne by this that the bladder is empty so that no water flowes forth though a catheter be put up There is no heaviness or distention or paine perceived about the pubes though you presse it It ariseth either by default of the Kidnies which do not attract or expel the matter of the urine either by reason of its owne diseases of which formerly or by reason of some external error viz. because the serum is either consumed or converted to some other parts Or by default of the uriters which either are bound up or obstructed and then the patient was subject to the paine of both kidnies there is a great heaviness in the loins and somtimes a vehement paine torments every where there is little or no desire to make water But the specificks in this disease are thought to be earth worms in number five drunke with sweet wine An egg-shel purged from which a chick in hath been hatched Goats piss dranke warme ' its caule and guts applied to the belly c. To an Ischury belong A deminution of the water which in malignant and acute feavers is therefore bad because it is a signe that the nerves are affected And the slowness of urine when it is voided at longer distances than it was wont because they differ from an ischury only gradually therefore we wil treate no more of them Article IV. Of a strangury A strangury is a voiding of urine by drops made with or without paine and a continual urging to piss arising from a continual goading of the expulsive faculty of the bladder by reason that the sphincter is affected or from the weakness of the retentive faculty oppressed with the least burthen The Signs of an affect so manifest are evident The Cause is explained in the definition viz. the irritation of the expulsive or weakness of the retentive facculty but from whence they are shal be exprest in the differences The Cure is of little or no Hopes almost if it come upon an Iliack passion proceeding from an obstruction of crude and thick Humors no Feaver following it which may attenuate the Humors 'T is ordered according to the diversity of the Causes of which hereafter The Difference is taken from the Causes I. One is with pain proceeding from the irritation of the expulsive faculty and it ariseth 1. From the Acrimony of the Urin which either is inferd by external Causes as meat and drink hot and Salt new and dreggy drink which when it cannot be concocted commodiously and hath a power to ferment the Humors and loosen the Belly if it be quickly carried to the Kidneys 't is carried crude to the bladder and stimulates it Then drinking of spanish or Mallego wine does good Nut-megs Goates Fat put on the Navel Or from internal Viz. Sharp Humors either produced there or sent from elsewhere which being viscous do by their clamminess stick to the Orifice of the bladder and somtimes by their long continuance exulcerate the same They are known by this that the Urin is red and Yellow there is a sharp biting felt with a heat and thirst The Cure requires emptying by Cassia and Turpentine Tempering by coolers and moistners and a bath of sweet Water Promotion of the Vrin By Salt of Acorns of bean stalks half a scruple Oyl of Wax three drops in the Decoction of red Vetches By the pouder of stones squeezed from the Heads of Snails given in Wine 2. By matter sent from the Liver Kidneys or else where and then some of it wil appear in the Urin whey with Sugar of Roses is good 2. From the Stone which Excoriates the bladder to which we must have respect 3. From an inflamation of which was spoke formerly 4. From the affects of the neighboring Parts for upon an Inflamation of the right
the same concerning which things see the chapter of the hemrods of the anus Article IV. Of the ulcers of the neck of the wombe There is no need to define what the ulcers of the neck of the womb are Their Signs are a pain and perpetual biting in the same place which by little is increased especially if any thing abstersive be cast in a flowing forth of sanious humors and matter by intervals somtimes with blood if the ulcer be great or the courses flow A pissing often and hot if the otifice of the bladder be drawn into consent a paine in the forepart of the head extending it selfe to the roots of the eyes if the head A smal seaver which in process of time growes slowe with often horrors c. The CAUSES are al external and internal things which by their acrimony can dissolve the continuity in that part of which in the differences The CURE is difficult because it is in a place of exquisite sence moist and which hath a consent with many parts 'T is Ordered the same manner was spoke in general in the first book To inhibit the paine Steeled milk cast in doth good For drying baths The Differences are various I. Some are from external causes as medicines hard labor violent copulation And others from internal as are the secundine corrupted the flux of blood retained the flux of the womb a virulent gonorrhaea the french pox Inflamation Humors flowing thither either from the whole or a part or generated there al which must be attended in the cure II. Some are superficial from which little matter flows and medicins may be layed upon them Others profound which are in a contrary way and the medicines ought to be injected III. Some are Milde with little matter thick not stinking in which both the gentler abstersives as honey of roses with barly water whey with sugar or the decoction of lentils and the more benigne astringents take place Others sordid with plenty of matter and flowing forth with paine in which we must act with stronger things The mundifyer of smallage in Castro l. 2. c. 29. is here commended Others are eating with a colored matter green livid stinking flowing forth with paine in which aloes and wormwood amongst mundifers are the cheife IV. Some are called Phagades which are smal and longe ulcers eating the skin of the necke of the womb They are known both by the paine and blood caused in copulation and by sight if the neck be looked into and they are like unto them which in winter time are wont to rise in our hands They arise many waies 1. Externally from a painful labour violent copulation and then we must use an astringent glyster 2. Internally from an inflamation condylomata an afflux of sharpe humors which must first be taken away by purgers before we come to topick medicines There is commended for them the fatt which distils from wooden spoones used to boyl in kitchins if they be a little moved to the fire and burnt and also the oyntment pomada Others which leave behinde them a Fystula which is voide of paine unless it come to a nervous part sometimes it passes to the bladder and right gut and the excrements are cast forth through it If it be ancient it ought to be left to a palliative cure in which at fit seasons the body is purged but the callus which is alwaies joyn'd with it if that be curable after drying of the part being molefied by vulnerary potions must be wasted either by cutting or burning Of a cancer and gangrene I meet with nothing singular That is generated by menstruous blood adust and when scirrous tumors continue long This in this place ariseth from an inflamation cancer and ulcers there il cured For while these parts are moist and abound with excrements they are easily corupted and perish Chap. 2. Of the diseases of the womb Article 1. Of the distemper of the womb The diseases of the womb are distemper straitness of the vessels inflation inflamatition a scirrhus dropsy falling down of the womb wounds and ulcers The distemper of the womb is a swarving of the same from its natural temper to a preternatural distemper arising from external and internal causes 'T is divided twofold I. One is hot which is known by a proness to venery by the scarceness yellowness blackness adustion acrimony of the courses and by their difficult and inordinate flux whence in process of yeares they become hypochondriacal by the early growing of hair in the privities redness of the face and dryness of lips often pains of the head and abundance of cholerick humors in the body It ariseth either from the birth from whence are viragos and barrenness or after the birth from external causes amongst which are the use of hot thing too much venery medicines which do move the heat and blood to the womb 'T is cured 1. By the contrary diet 2. By cooling medicines both internal and external which are applyed to the loins and back but they must be moderate least the heat necessary for conception be weakned the cold substance of the womb because it is membranous be violated the vessels which ought to be open for flux of the courses be condensed and the nerves which are in the loins and back be hurt 3. By emptiers viz. Rhubarb syrup of roses solutive manna c. The flowers of Vitriol of Venus Mars from three grains to six grains given in some syrup is an appropriate purger for the womb Another is cold more frequent than the hot which is known from a less desire to venery and the little pleasure in it by the stopping mucosity flegmatickness of the courses and their inordinate flux by reason of the plenty of the like humors collected in the womb from whence is obstruction by the plenty of wind in the womb by the crudity and watrishness of the seed from whence it flows without any pleasure by the pale color of the face and other things opposite to the former It ariseth also from causes contrary to them 'T is cured 1. By a contrary dyet 2. By hot medicines applyed to the womb amongst which do excel inwardly the Roots of Birthwort avens angelica eringoes the Leaves of Mercury balme dittander of Candy pennyroyal Sage Rosemary mugwort The Flowers of wal Flower Marigold Sage Rosemary burrage Spices Nutmeggs Cubebs Saffron Cinnamon Of Compounds Oyl of Mace Amber Myrrh Cinnamon Fecula bryone Aqua vitae Mulierum The extract of Zedoary Outwardly the same things reduced into their formes Another is moist which for the most part is joined with a cold It is known by the plenty thinness and watrishness of the courses the moisture of the privities by reason of the humidity of the excrements and the passion of the Flux of the womb even when the seed is voided no delight in venery and an aptness to miscarry when the young one grows bigg It ariseth from the same causes as yet which
thinness and serosity and then no pain urges We must act with medicines that strengthen the womb with astriction and dryness II. A difficulty of the courses is a flowing of them with pain and trouble and greivous symptomes by the default of the veins or blood The signs are taken from the relation of the patient those pains are of the head stomach loyns and lower belly The flux is either altogether or only by the way of dropping and somtimes when the courses are at hand somtimes when they flow the symptoms happen and they do more afflict virgins and the barren because the veins of their wombes are less open than those that have brought forth because their veins after breeding are dilated We shal treat of the causes in the differences The cure respects 1. The Symptoms which must be mitigated 2. The causes which must be taken away The difference is taken from the causes One is from the straitness of the veins of which we have sayd enough in the suppression of the courses Another from the faults of the blood that is 1. From the thickness and feculency of it and then the blood whiles it is emptyed grows into clots the pains grow feircer a long time before the evacuation by reason of the endeavors of the expulsive Faculty The cure premising universals is perfected by things attenuating and that have power to diffuse it 2. From the acrimony proceeding from the mixture of sharp humors and then the genital parts do iâ—ch the nature of the bloâ—d voided and manner of the pain discovers the disease We must act with things that qualify the acrimony as are the Four greater seeds violets the flowers of water lillies 3. From the flatulency and then the pain returns by intervalls and of a suddain grows sharper wanders up and down wind being voided it ceases It is cured by emptying of the matter and discussing of wind Article 5. Of the discoloring of the courses The discolouring of the courses is a declining of them when as they ought to be ruddy to a palness whiteness greeness yellowness or lividness by default of blood The signs are afforded from beholding the blood it self there is added a stinkingness an inordinate evacuation and oftentimes erratick Feavers accute horror loathing of meat pains of the stomach c. concerning which see Hippocrates The cause is layd upon the falt of the blood concerning which as also of its causes see in the differences The cure attends the causes therefore according to the nature of them it varies 'T is divided twofold I. One is when the blood contracts a fault either by reason of a distemper of the whol body or of some principal part respect to which must be had in the cure Another when the blood is in fault either because 't is supprest and retaind and then a stoppage of the courses went before pains are felt in the breast and strong pulsations if the habit be better the courses break forth and the blood flows forth and a strong smelling matter about the eight or ninth day Or because 't is polluted by the womb abounding with excrements and then there are signs of a polluted womb Another when the blood is polluted by the mixture of excrementitious humors and then if you consider the cure we must prepare them but so that when as thick humors do want attenuation and things too much attenuating do melt the serous humors and move them to the womb we must absteine from the stronger and beware of vinegar we must empty c. II. One is when the courses decline to a whiteness which ariseth either from flegm of which howsoever it be there are signs of a weak stomach or from matter and then either ulcers are raised in the womb and barrenness follows or the courses flow forth for seven or eight days and the woman is freed or the same break forth at the parts above the groin without a tumor and about the hypochondries they come forth and the woman seldom survives Or after some daies a great tumor riseth upon the groin ruddy without a head because there the flesh is filled up and 't is hardly opened Another is when it declines to yellowness or greenness which proceeds from choler Another when to a lividness which ariseth from melancholy Article 6. Of an inordinate flux of the courses An inordinate flux of the courses includes two things to wit an anticipation of the courses before the due time and their continuance beyond the accustomary time The anticipation of the courses is divided according to the nature of the causes One is from external causes viz. a fal a blow and other things that open the veins See the cure below Another from the irritation of the expulsive faculty of the womb 1. By the plenty of blood which is known by this that the blood is sent from the whol body to the womb 't is fluid and natural there are signs of a plentitude 'T is cured by bleeding if the plenty be great by dyet and often exercise if it be less 2. By the thinness and acrimony of the blood which is known by this that the temper of the whol body is hot a course of dyet generating such blood went before the blood it self is dilute discolored yellowish 'T is cured by emptyers rhubarb especially by qualefyers of which formerly Another from the weak retentive faculty of the womb which is known by this that the vessels of the womb are loose the habit of the body also is lax and moist The cure forbids things too much astringent Acid waters and baths that have the vertue of iron are commended II. The continuance of the courses beyond the accustomary time is divided also according to the nature of the causes One is which proceeds from the disappointment of the expulsive faculty which is caused 1. By the scearcity of blood which is known by this that the woman finds no trouble by the protraction of her courses that too much excercise or slender dyet went before 2. By the thickness of the blood which is known by this that there are signs of a cacochyme the blood is whitish and viscous In the cure we must purge before much blood be gathered together attenuate when the menstruous purgation is over calamint and mercury beare the palme some days before the monthly purgation we must open scarification of the ankels takes place here Another which ariseth from the weakness of the expulsive faculty which is induced 1. By a cold distemper of the womb of which formerly 2. By a stupidity of the same which is known by this that there are present disease causing stupidity or too great use of coolers went before after the due time of purgation though there be present abundance of blood no heaviness is perceived by the woman In the cure we must have respect to the disease and its causes Article 7. Of too much flowing of the courses The too much flowing of the courses is
either a too plentiful or more continued purgation of them than is convenient arising either from the fault of the blood or of the womb or of the veins There is not much need of signs especially if there follow a want of appitite crudety an evil color of the face a swelling of the feet and the rest of the body an atrophy cachexy c. The cause we have layd on the blood the womb or the veins but whence these are in fault shal be explained in the differences The cure is difficult if it be of long continuance None at al if it happen to a woman growing old It reqiures 1. A restraint of them by revulsion interception thickning of the blood stopping up the vessels by astringent means and other things Yet it must be stopt by degrees if there be a great plenty of blood and it happen by way of crisis the which falls out seldom Here take place Heurnius his pouder of the seed of white henbane white poppy each one dram of the bloodstone red coral each half a dram camphure half a scruple given half a dram weight The pouder of amber sanguis draconis the bloodstone red corral purslane seeds each one dram pomegranate flowers two scruples easterne bole armenick two drams given from one dram in three ounces of plantane water Asses milk with steel Ferdinandus his aqua mirabilis histor 33. The trochisks de carabe the benes of a man strongly calcined Zacutus his pills l. 9. prax histor p. 185. His plaister there The plaister of saxonia made of the sut of a chimney volatil floure c. a pessary made of heggs and asses dung with the juice of plantane and the mucilage of quinse seeds Specificks are inwardly Forestus his pouder of a turtil l. 28. obs 10. The salt of the ashes of the same the thin skin of geese feet dryed and given from one dram to two scrupels Outwardly a girdle of the leaves of bastard black hellebore bruised Of which Renealmus obser 21. The differences are divers which do cheifly respect the causes 1. One is from blood which 1. either is derived from the bottom of the womb in which the blood is blacker and for the most part clotted Or from the neck which is more ruddy and fluid 2. 'T is either plentiful or sharp or serous Of which in the following difference Another from the moistness of the womb of which see formerly Another from the fault of the Veins concerning which consult with the third difference One is from plenty of blood which is known by this that either the vessels are opened or broke in women especially whose courses have stopt a long while and afterwards do breake forth more plentifully There are signs of a plentitude the blood which comes forth doth easily concrete into clots In the Cure we must respect 1. Bleeding which if it be ordered for evacuation it concernes a vein in the arme the liver veine cheifly If the strength be feeble 't is ordered in the salvatella of each hand if it be for revulsion it must be done at several times because being repeated it revells more powerfully 2. Cupping-glasses which for evacuation may be applied to any part if you except the lower as to the back shoulders and that with scarification for revulsion they ought to be set to the breasts without scarification and upon a difficulty of breathing ensuing they must be removed 3. Ligatures frictions of the armes c. Another from sharp blood which is known by this that there is a corrosion of the vessels joyned with it there are signs of choler The blood is detained and corrupted in the womb it slides forth in greater quantity In the Cure let purging be administred by syrup of roses solutive and leaves of senny See things that thicken it above mentioned Another from serous and watery blood which is known by this that either the liver is faulty by its weakness or the kidnies by reason of their weakness do not attract the serum The blood flowes forth in lesse quantity and is not easily clotted that which is flowed forth if it be received on a linnin cloath and dryed in the shade discovers it self by the colour The Cure attends the diseases themselves III. One is from an Anastomosis in the cure of which observe that hot things ought to be mixt with cold least the veins be obstructed the ventilation of heat be prohibited and a feaver induced that pessaries may be applied if the opening be in the vessels of the neck where oake leaves and unguentum Commitissae are good that baths must not be used unless they be somwhat cold or whose astringent power overcomes their heat Another is from a Diapedisâ—s which happens very rare it presently requires astringent topicks Another from a Breaking which happens either from a plenitude or from causes that stir the blood especially from hard labor and premising the opening of a vein if ther be need 't is cured by conglutinating medicines Another from a corrosion which is known from hence that little blood flowes somtimes purulent somtimes serous It ariseth from a sharp and corrupt blood somtimes also from sharp medicines amongst Astringents is commended the root of dropwort or ' its decoction Article VIII Of the Womans flux and gonorrhaea The womans flux which otherwise is exprest by the name of the whites is an inordinate voiding from the womb of an excrementitious humor by its whole nature differing from blood collected by the fault either of the whole or of some part 'T is called the womans because it affects women and truly virgins also when as the causes take place in them and there are examples of it Yet more commonly those of riper age especially if they be indewed with a moist and cold constitution do lead a delicate and idle life and feed upon cold and moist nourishments old women also and that unto death by reason of the plenty of flegm and the weakness of the concocting faculty There is no need to enquire the Signs the affect is made known by the relation of the patient her self It differs from a gonorrhaea because in that the matter of the seed flows forth whiter thicker and at longer intervals and 't is voided in less quantity From a nocturnal polution because this is joyned with a phansie of a venereal business and happens only in the sleep From the discolored courses because they observe their periods though not alwaies exactly they do not happen to women with child and those troubled with the suppression of the courses they shew a red colour From matter out of the ulcers of the womb because then the signs of an ulcer stand forth the matter it self is thicker and whiter It it be sanious 't is besmeared with blood and voided with pain We have laid the Cause upon an Excrementitious Humor which Somtimes is raised by purging Medicines Nature being stirred up by their use to attempt excretions somtimes by Baths Nature casting off
makes motion difficult but presently 't is discust Yet al these Signs do not happen in al. There have been those who were troubled with continual laughing the Vapor insinuating it self into the Membranes of the Breast there have been those who seemed to frame the hissing of Serpents the croking of Crows c. According to the proportion of the passages and breath breaking forth It differs from an Epilepsie because in this the Convulsive motions are more universal they have no remembrance of those things after the fits which happened to them in the fits the Pulse is greater than before a foam flows about their Mouth From an Apoplexy because in this the fit is suddain without any notice a singular snoaring afflicts them in breathing there is so great a resolution of the Parts that though they be prickt yet they do not feel From a Syncope because there are no presages in this of the fit to come the pulse failes to the sence cold sweats afflict it vanisheth in a short time when as the Hysterical passion lasts somtimes a day or two From the dead they are distinguisht by Sneezing Caused by Sneezers and other means The CAUSE is a malignant Vapor thin and spirituous in one moment penetrating the whol body and raised from the matter corrupted after a peculiar manner in the womb and stirred either of it self or by external things as things sweet-smelling fear Anger and ascending upwards not only by the Veins and Arteries but also by occult passages But what that is shal be said in the Differences The CURE is somtimes of doubtful hopes If it long afflict old women because it infers an impeachment of the strength and shews a plenty of humors If it happen to breeding women a hard labour or abortion going before if it assaile great bellied women because it strikes a feare of abortion of better hopes if breathing be not hurt too much if the fits do not return often It respects 1. The time of the fit where care must be had 1. To intercept it by binding of the belly about the navel with a girdle made of the skin of a hart kild in the act of copulation with the doe 2. To raise her by ligatures and painful Frictions by pulling off the hairs especially of the priveties by suffumigations made of partridg feathers horses hoofs and Eel skin By applying of assa faetida oyl of tartar to the nose c. 3. To reveal by ligatures frictions of the lower parts glysters discussing wind cupping-glasses without scarrification applyed with much flegm first to the ancles and thighes by and by to the groines by putting up sweet things into the privities as are oyl of Civit half a scruple with oyl of nutmeg by expression one scruple 5. To discuss and that outwardly by oyl of white amber with the pouder of walnut flowers By extract of castor of liver-wort Mynsichtus his specificum diajovis The same Authors Theriaca mulierum Hartmans essence granorum Chamaeactes in pennyroyal water Treacle water others that are appropriate Outwardly by putting into the navel oleum Jovis the salt of the same described by Crollius By plaisters made of the fat of a black cow fed with utrine plants clary boyld in butter adding gum tacamahach carama 2. The time out of the fit in which 1. We must empty by Grulingius his extract of bryony of which in his cures by Agricola his flores virtioli Veneris et martis 2. The womb must be strengthened by things internal and external that do resist the malignity also The faecula of briony is commended Castor c. 3. That diet in which odoriferous and sweet things are which are wont to move the womb must be shunned For preservation see Zacutus his Hysterical Pils Prax. Hist l. 9. c. 12. The Difference is taken from the causes One is from the seed corrupted by the fault of the parts or humors mixt with it and sending forth such a vapor which is known by this that the courses are right in the patient Al the Symptoms are more vehement the fit declining a humor like to seed flows forth of the privites 'T is Cured universals premised by emptying of the seed by glysters and utrine pessaries by prohibition of the same by medicines diminishing the seed or by slender diet Another from menstruous blood stopping and therefore corrupt which is known by this that the menstruous blood is joyned with vitious humors especially a melancholly one The symptoms are milder with the signs of a suppression The Cure must be turned against the suppression of the courâ—es Another from vitious humors concerning which consult with the chapter of the distemper of the womb Article III. Of the madness of the womb and Melancholly of Women The Madness of the womb is an immoderate desire of Venery almost making women stark mad arising from the plenty of seed acrimony and peculiar quallity of it The subject of this affect are either wel flesht virgins black and having adust blood or the youthful flourishing widows or married women that are barren by the impotency of the husband The Signs are various some wast away in sadness and silence suppressing their desire others reason being overcome do prate are lascivious break into anger laughter weeping wanton and baudy discourses Some freely prostitute themselves to men The Cause is the plenty heat and accrimony of the seed which ariseth if you consider the internal causes from the heat of the womb the distemper of the stones especially and spermatick vessels hence many labor of an inflamation of the womb and itching which are not affected with this madness If the external from a diet generating plenty and accrimony of blood by a drauft of hippocras in which there was some Borrax c. dissolved The Cure is accomplisht 1. By bleeding if blood do abound 2. By purging if hot and adust humors be mixt with it 3. By alteration by coolers as are Letice Purslan water-lilies Ladies navil by things that act by an occult quallity as are the chast tree rue hemp Camphire hemlock which are rather to be used in Nunneries The Melancholly of Women is a dotage with sadness anxiety weeping or laughing by intervals invading without a feaver arising from a melancholly vapor darkning the animal spirits The SIGNS are various the women are sad complaine of a grief at heart yet are not able to express the cause of it The Arteries about the Spleen and back do beat more vehemently than usual a pain of the left side against the heart afflicts somtimes seazing on the left breast the Vapors from the intercostal Arteries being poured forth into those places and pulling and distending the Membranes of the Breast a dryness of the Jaws somtimes troubles them with a suffocation But these symptomes affect by intervals because the Vapor is dispersed and the stirring of the blood in the Arteries ceaseth The CURE respects 1. Bleeding which must be ordered at the beginning if
hot blood do urge it 't is to be admitted commonly in the Arme if the Courses be not stopt if otherwise in the Ankle some daies before the flux it is to be urged sparingly if the evil be far gone 2. Preparation by those things which alter the Melancholly Humor and rejoyce the heart as are the Confection de Hyacintho and Alkermes 3. Emptying by things that Purge Melancholly with which things proper for the womb must alwaies be mixt Chap. 3. Of the Symptomes proper to married women Article I. Of the Symptomes about conception Point 1. Of Barrenness THe Symptomes proper to married women do respect Conception going with Child and the delivery The Symptomes about conception that meet us are barrenness and a mola Barrenness is an impotency to conceive proceeding from the fault either of the Genitals or of the Seed or of the Womb or of the menstruous blood There is no need of Signs the Cause and Cure vary according to the Nature of the differences The Differences are taken from the Causes and Parts I. One is by fault of the genital parts whether it be a Closure of the Womb from the birth which may be artificially cleft or a tender Constitution either by reason of the Age or structure for which a mans Yard is not admitted or Tumors Ulcers and excrescencies in the Neck to which the Cure must be directed and this is not properly called barrenness Another by the fault of the Seed of which shal be treated in the following Difference Another by the fault of the womb of which we wil treat in the third Difference Another by the fault of menstruous Blood when either that is wanting which happens either the womb being covered with a star or the blood turning into Fat or 't is too Copious that the Seed is overwhelmed and suffocated II. One is from the defect and unfruitfulness of the Seed which ariseth 1. By reason of tender Age or too old 2. by reason of the distemper of the Vessels dedicated to generate and contein the seed and then the Woman in Copulation perceives none or little and short Pleasure There are Signs of the womb affected or the whol body or some member hath a Vitious Constitution The Cure must be turned against the distemper of the womb 3. By reason of the Evil Conformation of the same Vessels Another is from want of a Proportion between the mans and womans Seed which consists between manifest and occult qualities but cheifly it ariseth 1. From medicines that extingnish Seed as are a Goats commodity Mint Rue Camphure which either the patient or standers by wil make known 2. From Inchantments and then the man cannot Copulate with his own wife he can with others he hath a desire to couple with his own and if he do couple with her he cannot send forth his Seed In the Cure is commended a drauft of cold water fallen from the mouth of a stone Horse drinking in a Current and suddainly received in a Vessel III. One is when the womb doth not attract the Seed that is cast in and that either by reason of a cold and moist distemper of which formerly or by reason of some Organical diseases and solution of Vnity Where note that very often too much Fat especially of the Caul doth compress the mouth of the womb that barrenness from Ulcers is hardly Cured nay though a great Ulcer were Cured yet that would remain by reason of the Skar left for which the blood can neither adhere to the womb nor flow thither Another is when the womb doth not retain the Seed cast in and that 1. Either by reason of a moist distemper which is known by this that the Fibres of the womb are Relaxt that it cannot contract it self the Seed by reason of iâ—s Mucousness cannot adhere to it 'T is retained for some few daies then cast forth The Cure must be turned against the distemper 2. Or by reason of the thickness of the womb for then the blood doth not slide thither from which the Seed ought to be joyned to the womb and take its increase The Cure requires extenuation by a slender diet exercise purging Sweating and others 3. Or by reason of its Slipperiness and then a womans Flux or virulent Gonorrhea hath happened the Seed conceived is extinguisht and Rapt away The cure must be fetcht from their places 4. Or by reason of the gaping of its Orifice and then either hard labor or abortion went before The Fibers are so relaxt that they cannot contract themselves In the Cure amongst astringents a Fomentation of the Leaves of Lentisk Mirtle c. takes place 5. Or by reason of a Cough Sneezing which happens after Copulation c. By which the Seed is shaked forth Another is when the womb doth not alter the Seed injected and that either by reason of a distemper when the womb by an immoderate coldness grow thicker the Orifices of the Vessels belonging to them are very streit and narrow whence neither the Secundine can be knitted to the Mouths of the Vessels neither doth the blood flow in sufficient quantity which is Serous too or by reason of organical diseases as Tumors Ulcers c. Point 2. Of a Mola A Mola is a mass without bones and bowels from an imperfect conception generated by the fault both of the mans and womans seed instead of a Young one The SIGNS before the fourth month are not so exact that it can be certainly known in process of time 't is discovered by four signs 1. By motion for that is trembling and panting rival to a constriction and dilatation and it fals down like a stone with an eminent sence of a weight upon that side the woman turnes 2. By the figure and bulk of the womb For in that the Belly is lift up according to al dimensions when in a true young one 't is principally raised towards the Navel and is gently stretched towards both sides 3. By want of milk for in a mola the breasts swel indeâ—d but there is produced in them only a certain crude matter from the courses supprest tending to the breasts which in process of time vanisheth when in those with child milk begins to be generated about the fourth month 4. By the Symptoms which are diverse as difficulty of breaching pains of the back and groines c. The cause is the fault of the seed both of the Males and Females jointly when the formative faculty is weak either of it self or because 't is overwhelmed with blood Whence molae are wont to be made if there be copulation when the courses are at hand or flowing or not wholy stopt And of the womans seed severally joined with blood and then there are molae altogether rude and which being long exposed to the aire being melted are dissolved into a watry substance In virgins such a thing cannot happen both because their weak seed wil not attract blood necessary to its conformation and
or by other diseases by which also the retentive faculty of the same is wont to be weakned In particular 't is caused cheifly 1. From too much cold and then the pain which ariseth about the Region of the Kidneys descends to the lower part of the Belly and afflicts like to Nephritical pains See a Fomentation in Ludovicus Burgesia p. 1. c. 6. 2. From a sudden fright and then outwardly may be applyed the Fomentation even now mentioned inwardly a little Oxycrate 3. From a Swouning where the Confection of Alkermes and de Hyacintho take place 4. From Anger 5. From a Flux and then drying Meats must be administred the Patient must be kept in Bed we must act with Cordials and Strengtheners III. The Birth coming forth not Naturally where 't is a common admonition that the navel of the infant what way soever it comes forth be thrust back into the womb again If it be difficult and cannot be promoted otherwise 't is happily furthered by giving three grains of Mercurius vite in wine as Billichius witnesseth in his observations IIII. The stay of waters al other things being ready for the birth and then the membranes must not be broken least violence be offered either to the navel or some member a fomentation ought to be ordered with warm water which must be followed with a limiment of fresh butter V. An immature falling down of the waters and then fresh butter is good amongst moistners we must have a care of the outward air VI. Collick pains which are taken away by giving oyl of sweet almonds with cinnamon water or a carminative glyster following VII A weakness of strength by the birth and then may be administred water of Tophies Harts-Horn Confection of Alkermes Cinnamon water VIII The slow comming forth of the secundines either because they are too thick and tenacious and stick close to the sides or because they swel by the long labor of bringing forth or because the Navel is either broke or cut off before the Secundine is come forth There are commended the Secundines Specifick the Eyes of a hair taken in March of which in Hartmans Chymiatry c. See Burgesia l. 1. c. 14. IX The Pains after birth by reason of the too great strainess of the vessels which are prevented by giving of the Queens pouder after the first birth which is compounded of the grearer comfrey one dram Peach Kernels Nutmeg of each two scruples Amber Greese half a scruple and one dram weight is given in broth if there be a Feaver in wine if not X. Too great a flux of blood after the delivery either by reason of its plenty or because she hath used hot things or because of its thinness In the cure take place ligatures a cloth dipt in Oxycrate applyed to the Loyns and al the back bone because there the Vena Cava Runs down Terra Cimolia dissolved in Vinegar applyed to the same XI An insufficient Purgation by reason of the thickness of the blood detained nine Months induced by heart which is known from hence that it was more in the menstruous Flux In the Cure takes place the opening of the Saphena but not before the womb is restored to its place The use of Syrup of Maiden-Hair with Hyssop water Wormwood water Suffumigations Fomentations c. But if her Purgation were not more in the Flux of her Courses nor she did not abound with blood we must act by dyer and meats of good juyce XII A Feaver which is 1. From the generation of milk which is free from danger it must be committed to nature observing a goverment in dyet and sweats must be promoted in which that is wont to end 2. From the suppression of the after purgation in the cure of which note 1. That a vein is most commodiously opened in the ankle if that cannot be done cupping glasses with scarification are wel applyed to the thighs and leggs 2. The time of the flux being over past and a feaver urging a vein in the arm may be opened 3. From the store of vitious humors in which we must diligently consider whether the sick ought to be purged or not the time of the flux being over only gentle ones must be administred Things that alter which stop the flux as cold things sour things must be aavoided Read more of this subject in the Guide to Physick and Chyrurgery Riverius Practice of Physick and his Observations and the London Dispensatory Al of the last Editions Englished by me Title XIII Of the Affect of the Belly A single Chapter Of the Rupture of the Navel and Inflamation of the Muscles of the Belly AMongst the affects of the belly is A Rupture of the Navel and Inflamation of the Muscles of the belly Omphalocele which is a swelling of the Navel from the Guts Caul water wind or a fleshy substance fallen into it or arising there The Signs Cause Cure do vary according to the Nature of the Differences The Differences are taken from the Causes One is Intestine or Enteromphalos when the Guts slide into the Navel which is known by this that the Tumor is not very hard nor soft holding the breath it increases and the Patient lying on his back it sinks the Guts going back into their place with a noise and rumbling It ariseth from blows fals jumping lifting of a heavy weight hard labor riding crying out Mourning Laughing c. In the Cure it requires 1. The putting of the Guts into their place 2. The astriction of the peritonaeum relaxt the consolidation of it if it be broke amongst Medicines are Comfrey Sanicle through-wax Rupture wort Boyled in red wine and given Incision must be admitted at last when no other things do good By Ligature somtimes we provide against this affect Another is of the Caul or Epiplomphalos when the Caul slides into the Navel which is known by this that the Tumor in one paâ—â— is softer broad at the Basis and narrow towards the top that there is no pain present and the same being prest with the Fingers it sinks the Caul returning into its place It ariseth from the same Causes The Cure is the same but in a soft and young body 't is easier Another is watery or Hydrophalos when the Navel is lift up into a Tumor by water which is known by this that the Tumor is lax and if it be prest 't is neither increased nor decreased that 't is joyned with a waving and holding a Candle to it it appears clear and perspicuous It ariseth from water collected between the Peritonaeum and the Skin of the belly proceeding from the Causes mentioned in the Dropsie In the Cure take place things drying and discussive if these succeed not incision made like a half Moon Another is windy when wind distends the Navel which is known by this that the Tumor is soft yeilds to the Finger gives a sound like a drum and let the Patient lie which way he wil it is not changed
unless perhaps you understand that prevention by which one infected endeavors to oppose the accustomary symptoms that they grow not upon him 2. The Cure which is accomplisht 1. By the emptying of the blood and vitious humors wel prepared Where note 1. That bleeding must not be ordered if the bubo be suppurated least the matter be called to the inward parts it must be ordered if blood do abound that appropriate medicines hot and dry may more safely be given If the matter be not moved to a peculiar part If the matter tend to the head the cephalick vein must be opened if to no part the basilick veine If there be a rottenness in the yard or running of the reins in the lower parts if the bubo tend not to suppuration 2. Purging must be ordered at the beginning least there be hurt done to a foul body by things alexipharmacal it must be continued al the time of the cure if matter be collected that must be omitted if the matter stick cheifly in the external parts mechoacan and jallop adding things specifical are of best use here 2. By overcomming the malignity and virulency in hearing as wel in the humors as parts and especially imprinted on the liver which is perfected by sweaters and salivation The sweating medicines that are propper here are pock-wood which is better administred in a decoction or spirit than any other forme that its oyly and rauzeny part may be drawn forth in which al the vertue consists and in a lesser quantity at first least it bring some damage by its too much heat especially when catarrhs are present Sarsaparilla the barke of which root ought cheifly to be taken casting away the pith but must not be given where there is present a pain of the eyes China which being temperate and having somwhat nourishing is most comodiously given when there is an atrophy Sassafras that is of an aromatical smel oake wood Juniper with its betries beach box Of which see Renealmus his observations Bezoarticum animale mixtura simplex persicariae orcanum Hartmans white spirit of mercury and his red c. the manner of using them Fallopius and Quercetan in peculiar tracts of the French pox have evidently described and Hartman in his Chymiatry Senertus in his 6. Book of practice A flux is raised with Mercury or quicksilver either taken inwardly where turbith takes place taken from one grain to three pils of one scruple of pouder of mastick with a few grains as from three to eight of mercurius dulcis sublimate made up with hony into bals and chawed somtimes for thirty dayes Or outwardly by anointing somtimes applying a greater somtimes a less quantity of quick silver two scruples may be used every time which the emptying of the body by purging or bleeding ought to go before The mixture and mortification of pure mercury and vivified by cinnabar with hoggs greace oyl butter turpentine must be followed with the bringing forth of the mercury out of the body that none of it be left there by sweating holding of gold in the mouth drinking of filings of gold and other waies Washing of the mouth and jawes with warm milk Hindering of inflamations with the decoction of plantane self heale c. But in general we must observe that mercury must be applied when the decoctions of the woods cannot be admitted by reason of somewhat forbidding them or when the disease cannot be overcome by other remedies and that not unless the strength be firm The body not too foul not too much wasted the aire not very hot the patient before the disease being free from a palsie and trembling Suffumigations are too vehement therefore they are reckoned amongst the last remedies 3. By convenient diet whose exact description see amongst authors The cheif symptoms we meet with in the French pox are 1. A rottenness which is in a threefould difference 1. Either 't is caused by contact or touching the privities of one sex being infected And then pustles breake forth first smal and white which exceed not the thickness of the least grain of millet there breaking there remains a round ulcer having a white point in the middle somtimes the whole nut is compast with them coupled together as with a ring without pain with a light itching 'T is cured with oyntment of diapompholligos or nightshade water in which a little roch allum is dissolved layd upon raggs Or by transmissing of a thin excrement from the liver to the privities and then there is a round ulcer without a white specke livid having the lipps a little puft up purple coloured In the cure repellers must be shuned least a bubo be caused It may be washt only with the decoction of pockwood with plantan water c. or by the heating of the excrements cleaving to the privities by copulation putrefaction and infection and then the ulcer is malignant not round of divers figures and colours having callous lips creeping c. Concerning the cure of it consult with Fallopius c. 85. 2. Or 't is in the bosome of the womb the cure of which after washing requiers Fallopius his pessary Detersives if the ulcers begin to be suppurated causticks if the putrefaction be strong a red hot iron having a care of the sound part a dayly washing of the privities with the decoction of pockwood with scabious and tormentil Or in the channel of the yard which is known by the filth flowing forth and great pain in the time of pissing and is cured after the same manner as that which followes Or in the nut to which those things going before and which follow after ought to be applied 3. Or 't is with a tumor of the foreskin that the nut cannot be uncovered or if it be uncovored 't is done with a great deal of pain concerning which see Fallopius c. 83. Or with a callousness of the foreskin of which the same author c. 84. or with a callous skarre or with warts or excrescencies of which c. 87. and 88. II. Buboes which are Distinguisht from others that are not gallical that either a Rottenness or a contagious running of the Reins is present and Copulation went before there being no other certain cause existent But those Tumors are of two kinds somtimes the matter is collected about the Glandules in the membrane that covers the Glandules or that fils up the Cavity of the groins Somtimes the proper substance of a Glandule swels which Tumor somtimes riseth to so great a bulk that 't is bigger than a loaf In the Cure bleeding and purging must be avoided unless the Bubo either decrease or be at a stay A Diachylum Plaister doth molifie and ripen it being opened Opodeldoch is wel laid upon it The Black Oyl of Tartar is a most excellent discussive III. A falling of the Hair which ariseth from an evil Humor knawing the Roots of the Hairs In the Cure astringent things must be shunned gargles and sweats here do much good to which may
the Eyes somewhat black and thick and lastly if there appear froth about the Mouth in regard that it signifieth an exteam streightning of the heart The Cure is to be ordered according to the rule and method in other inflamations which are notwithstanding there come these few peculiar things to be observed Touching Venesection is to be noted 1. If it be doubtful whether side thereof be the more afflicted since that the Liver is the part transmitting the blood ought then to be drawn forth of the right arm 2. Where there is not so great a difficulty of brathing the blood may be drawn forth the more freely and plentifully but when the difficulty of breathing is great there ought to be the less blood taken away and that at several times and the intervall of four or five hours betwixt 3. That if Cuppinglasses be forthwith applyed unto that part that is nighest unto the place affected then there wil be excited in that sayd part the Greater Conflux and therefore they ought to be put upon the Reines and not upon either the Arm or Neck Purgation is forthwith in the very beginning to be ordayned Repellers ought inwardly to be administred unto the Jaws and this especially indeed in the form of Gargarismes Mouth-washings termed Collusions and Luctures And here there is commended Lapis prunella The Composition of Mulberries Must or new Wine and Nutshels in regard that it hath in it an extraordinary astringent quality and power those Medicaments that are formed of Sengreen Plantane and Purslane c. On the third or fourth day Digestives are to be mingled together with Repellers In the Declination of the Disease the Ashes of burnt Crevises or Crabs is to be wel mingled with Honey or the White Excrements of a Dog or that of a Hen or that that is taken out of the Swallows Nest poudered and siersed Among the Maturatives or Ripeners there is the pith or pulp of Cassia kept a while in the Mouth Gargarisms of blood warm milk with Sugar The Emplaster that is formed of Marsh-mallows and the Common Mallows of each one handful Camomile Flowers Melilote Flowers Linseed Fenugreek Seed of each half a dram ful and fat figs in Number ten wheaten meal two Pugils or little handfuls For the breaking thereof excellent good is the Cataplasm of the Cream of the new and fresh roots of the flower-de-luce with butter and the Oyl of Violets Among the Specifical remedies are the Mushrom or the Elder Tree boyled and drunk the Pouder of Swallows if after they have had Salt cast upon them they together with their feathers be burnt in an Earthen Vessel and the Ashes mixed with Honey spread and anoynted upon the place affected one scruple of the Shavings of the Bores tooth if it be mingled with half an ounce of the Oyl of sweet Almonds and sweetned with white Sugar Candy and lastly the secret of Guntzmannus mentioned by Hartman In the Patients diet we are to come at length unto Nutritive Clysters It is divided in a twofold manner 1. Into four species or kinds Cynanche c. Of which more below Number 4. 2. Into that that is from Pure blood in which there is a greater distension of the Neck and the color of the Face is somwhat Red and into that which proceedeth from a Flegmatick blood in the which al the Symptoms are more mild and Gentle II. One is from the Relaxation of the Vertebrae of the Neck and then either a fal or a blow went before it as its efficient Cause or else some Humor or other hath preternaturally loosened the Joynts and Ligaments of the Vertebra or otherwise hath dislodged them from their proper seat there appeareth here none of those signs that in the others are manifestly discovered The Neck is hollowed behind and is not to be turned about the Oesophagus without much ado and pain withal The pain is felt if the part affected be but externally touched the Tongue falleth forth from its proper place The Cure is to be sought for in its own due place that is to say from its sourses spring and Fountain III. One is from a Pituitous or Phlegmatick defluxion residing upon the Joynts and the Muscles of the Neck and then the pain is not great and violent but dul and heavy the swelling is somewhat broader but then it hath in it very little or no redness there is present no fever or if any it is but moderate The voice waxeth hoarse there is great store of spittle the sick Persons alwaies gape with open mouth and drawing Air there is likewise some difficulty in swallowing but yet without any great hazard of suffocation The Cure is to be ordered according to that of a Catarrh IV. That which ariseth from an inflamation one is called Cynauche which lyeth hid in the internal Muscles of the Larynx or the Throat and then whether inwardly in the Jaws or outwardly in the Neck appeareth there any redness or swelling at al but the Jaws are so vehemently pained together with great danger and peril of suffocation that the diseased persons are enforced to take in the Air and to breath with their neck erected strait and upright and with open mouth The fever that accompanyeth it is most acute and the disease strangleth the party within four days at the utmost but very usually within eighteen hours time That which in this case much profiteth is Cupping glasses applyed unto the veins under the tongue touching which see further in Zacutus Lufitanus in his eigth book Chap. 2. Another is that we cal Paracynauche which sticketh and hath its residence in the external Muscles and then there is to be found within a certain swelâ—â—ng and redness the mouth being drawn aside and writhed after a strange manner and the tongue depressed and kept down if it vanish away at any time when there is no crisis to be expected and a little swelling or rising appear but yet such as is altogether void of pain which cannot be suppurated either by the Vigor of Nature or the help and benefit of Art it then threateneth Death and a return of its red color the former in regard that the thick matter being left al without the more thin and hotter part thereof is converted unto the throat the latter by Reason that there is likewise by some accident a hotter kind of matter driven inwardly Another Synanche which is conteined in the interior space or Cavity of the Jaws and then it likewise extendeth it self unto the Root of the Tongue and comprehendeth the Neck it self there is then also apparently to be discerned a swelling and a redness in the outward parts together with pain and heat the which said swelling if it have recourse unto the more internal parts without any manifest cause it then suddenly vanisheth away upon thi translation of the matter the Symptomes ares here never a whit more milde and gentle than in the other sorts but yet notwithstanding there is here
greater hopes of safety in regard that the Inflamation advancing into the outward parts may possibly be drawn forth and digested Another is that we cal Paracynanche the which seizeth upon the Neck alone and the Muscles thereof that appertain unto the Tongue and the Hyoid bone This of al the rest is least to be feared as having least danger in it because of its distance from the Throat as also by Reason of the constitution of the parts affected which being Kernelly soft and loose may the better without any difficulty receive the Humor that floweth unto it in regard that the Muscles of the Larynx are not inflamed neither the way and passage of breathing intercepted and stopt V. One is that which is dissolved and removed by a Diaphoresis or Sweat the Cause thereof being thereby diverted drawn back Evacuated or at least dispersed and scattered Another that is Cured by Maturation and the Evacuation of the Pus or corrupt Matter out of it being first opened Another which is terminated and ended by the Translation of the Peccant matter unto some other Part which is known by the sudden and unexpected cessation of the swelling and the pain and likewise by the alteration and change of the Pulse The matter is Transferred 1. Vnto the Brain and then there followeth a grievous pain of the Head a Phrensie and a Dotage 2. Vnto the Muscles of the Neck and then there is usually produced and excited an extream pain a swelling and somtimes a Convulsion 3. Vnto the Lungs and the Pleura Membrane and then there ariseth a pain of the Breast Cough and difficulty of breathing 4. Vnto the Heart whereupon a Trembling swooning and an obscure and weak pulse affect the Diseased Party Title II. Of the Diseases of the Throat A Single Chapter Of those Kernels we cal Strumae and of Bronchocele a swelling in the Throat THe Diseases of the throat are Strumae and Bronchocele I. Strumae commonly called Scrofulae or the Kings Evil in the Throat are swellings in the Glandules or Kernels generated of thick and Clammy Flegm and included in their own proper Membrane There is no need here of many SIGNS the swellings are round Pendulous and hanging easily moved if touched and such as are separable from the Skin The CAUSE is flegm which is somtime alone but other while conjoyned with Melancholly it ariseth from Meats that afford a Crude raw and thick Juyce and thereupon it is most Familiar unto Infants and such as are yet in the state of Childhood It may especially likewise be thrust and made to appear by those Waters that contein in them Mercury or Quick Silver such as are those in Carinthia Styria and about the Alpes It is somtimes together with a nourishing Juyce if the said Juyce offending in quantity be not wholly consumed and wasted by Nature sent unto the Glandules as unto the more ignoble parts The Membrane in which they are included is never by the Formative Faculty produced in Vain or to the end it should be idle and of no use For when as the Memberane is distended by the Superfluous Humor in great abundance thereunto flowing and haply likewise thereby broken Nature then attempteth as it were the contexture and forming of a new kind of Membrane The CURE dependeth cheifly upon the Particulars following I. The matter that is the Cause thereof ought to be Evacuated II. The same matter is to be wholly wasted and consumed with the Herb Scrophularia commonly called blinde Nettle and Water Betony the Root of the dead Nettle the Roots of Herbs Filipendula and Gladiotus but especially the Root of the shrub Ruscus or Butchers broom of which there is to be taken after it hath been reduced into a smal pouder every day for a while one dram thereof in wine III. The said matter is to be cut and dissipated by Emollient Topicks And for this purpose there are commended the Leaves of the Cypress Tree the pouder whereof being sprinkled with Wine let it be so made up into one Mass or Lump and then let the aforesaid Strumae or kernels be anoynted therwith for two or three daies IV. It is to be suppurated and when it is brought unto Pus or Matter then the swelling is to be opened the Pus or filth to be emptyed forth the hollow or Cavity thereof to be throughly cleansed and purged and lastly to be filled up again with Flesh II. Branchocele is a swelling in the throat sticking and strutting forth so that it taketh up much room arising from a windiness and conjoyned with an extension The aforesaid windiness breaketh in under the Skin and the general Membrane that is situate under and knit unto the Skin in the more inward parts of the Neck It is Caused by the Air which when the Skin whose Membrance in that place is more thick and somwhat more red than else where is violently pulled away from those seats and places that are subjected unto the Aspera Arteria or rough Artery and the Anterior Muscles of the Neck by some extraordinary vehement streining of the Body and this often cometh to pass whilest the breath is long held in that so the Excrements or the infant in Child-bearing may the better and more speedily be thrust forth or when Trumpets are strongly blown and thereby the Cheeks extreamly swollen and puffed out and being rent and divided as aforesaid it causeth and produceth there a void and empty space to prevent a vacuity breaketh in and so elevateth and lifteth up the Skin and Membrane into a Tumor or Swelling Title III. Of the Diseases of the Aspera Arteria or the great rough Artery THe Diseases of the Aspera Arteria are Asperity or roughness Narrowness or streightness Wounds and Vlcers I. Asperity or roughness which is a want or defect of the Natural Smoothness is known by the hoarsness of the Voice Either from Externals as from Oyl if by Reason of its Age or frying therewithal it become Rank from Nuts from dust from Smoak c. Or else from Internals either Humors fallen down from the Head or else A Vapor striking upon the foldings thereof It is to be Cured by those Medicaments that moisten Mollifie and make smooth and these Medicaments termed Arteriacal either they are wholly void of al kind of Mordicacity and biting quality to wit Butter Milk Sweet Must the Decoction of Raisons Liquorice Jujubes Tragacanth or withal abstersive as Sugar the Honey or Juyce of dryed Figgs the Sugar of Penidies the Syrup of Violets and of Jujubes or else with a kind of Acrimony and Tartness as Hyssop the Flower-de-Luce Roots Nettle Seed spike Frankincense and Mirrb But that which is here most profitable and expedient is that sort of Pills that we term Bechichae likewise the Troquisches Bechici and the Oyl of Sweet Almonds with Sugar Candy II. The streightness or narrowness of the Rough Artery is known from the difficulty of breathing and the fear of a neer approaching suffocation